Guest guest Posted February 9, 2000 Report Share Posted February 9, 2000 Just a quick question. How are you documenting a Patient's obstetrical history? The Gravida and parity? For example we use G2 P5 for a Mom who has had a single birth and then quads, and G5 P4 for a Mom who has had 1 miscarriage. Tonight an ER Dr showed me that we are doing it wrong and in Obstetrics 20th edition, it states " Parity is not greater if a single fetus, twins, or quintuplets were delivered, nor lower if the fetus or fetuses were stillborn " . Anyone else? Thanks, Pat Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2000 Report Share Posted February 9, 2000 Pat, I was always taught that gravity was the # of pregnancies (multiple gestation was still one preganacy) and Para was the number of pregnancies carried to 20 weeks. Therefore a stillborn would still count if it was still living at 20 weeks. You've got me curious about the Multiple bit. I'm gonna be looking today! , TX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2000 Report Share Posted February 9, 2000 The way that I was taught to chart is as follows: You chart the gravity, then the parity, althought the parity consists of four components. term, preterm, abortion (loss less than 20 weeks), living children. So if a woman had a single birth then quads, we would chart as (assuming the quads were term LOL) G2P2005 and if the quads were preterm: G2P1105. On the other hand A woman who has 5 pregnancies, 4 living children, and a loss before 20 weeks would be: G5P4014 and if the loss was greater than 20 weeks: G5P5004. As a side note, the parity is usually charted as a sub-character. Hope this helps. I do find a great amount of discrepancy in the way that we chart at my hospital. It would be much easier if everyone charted the same! Kerry >Pat, > >I was always taught that gravity was the # of pregnancies (multiple >gestation >was still one pregnancy) and Para was the number of pregnancies carried to >20 >weeks. Therefore a stillborn would still count if it was still living at >20 >weeks. > >You've got me curious about the Multiple bit. I'm gonna be looking today! > >, TX > >--------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2000 Report Share Posted February 9, 2000 G = # pregancies F or T = Full term or Term P = Premature delivies (<37 wks) A = Abortions, spontaneous or elective (Will see ectopics thrown in here too) L = Living # of children When recording just G__ P ___ , think of this P as meaning the number of deliveries. Most OB's would agree, for example, that with twins, Mom has delivered twice. Therefore, Mom with twins and no other kids would be a G1P2. Ask the Mom who had twins: one vaginally and one by C/S how many deliveries she had! Ask Bobbie (the Mom of the septuplets) how many deliveries she had! This is why I think we should record G T P A L in our assessments. It's much more clear. It will also tip you off in the event that she has lost a child due to neonatal (or other) death. Important to know and be sensitive to before you bop into the room and ask how old the big brothers and sisters are. Quote Link to comment Share on other sites More sharing options...
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