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G, P, Ab

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I have a couple of questions for the group. What do

G, P, and Ab mean to you? Not just what they stand

for, but what the words actually mean and how they

are used. A female patient who is not pregnant at

this time tells you that she has been pregnant five

times, she has had one full term delivery and that

child is still living, she had one stillborn at

about 7 months gestation, and 3 miscarriages (each

at about 3 - 4 weeks gestation). What are her

G-P-Ab numbers? Feel free to use another (or more

detailed) format if you want.

We had a group discussion about this today, and

found that we had some unexpected differences of

opinion. Then, we checked a variety of references

and also found differences there.

Maxine Pate

hire-Pattison EMS

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GRAVIDA

The number of times a woman has been pregnant.

PARA

The number of times she has given birth

ABORTIS

Numer of fetal losses before 20 weeks.

A GIPO or POGI is a woman pregnant with her first pregnancy (G1P0)

Often these are followed by: T P A L

T=TERM

P=PREMATURE

A=Abortions

L=Living Children

A women pregnant for the 4th time, has had 1 abortion and has two living

children is a: G4P3 (2-0-1-2)

Does that help?

Page 653 of Volume 3 of Paramedic Care: Principles and Practices 2/ed has a

good discussion of this if I do say so.

G, P, Ab

I have a couple of questions for the group. What do

G, P, and Ab mean to you? Not just what they stand

for, but what the words actually mean and how they

are used. A female patient who is not pregnant at

this time tells you that she has been pregnant five

times, she has had one full term delivery and that

child is still living, she had one stillborn at

about 7 months gestation, and 3 miscarriages (each

at about 3 - 4 weeks gestation). What are her

G-P-Ab numbers? Feel free to use another (or more

detailed) format if you want.

We had a group discussion about this today, and

found that we had some unexpected differences of

opinion. Then, we checked a variety of references

and also found differences there.

Maxine Pate

hire-Pattison EMS

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The patient in question would be:

G5 P2 A3

Or

G5 P2 (1-1-3-1)

G, P, Ab

I have a couple of questions for the group. What do

G, P, and Ab mean to you? Not just what they stand

for, but what the words actually mean and how they

are used. A female patient who is not pregnant at

this time tells you that she has been pregnant five

times, she has had one full term delivery and that

child is still living, she had one stillborn at

about 7 months gestation, and 3 miscarriages (each

at about 3 - 4 weeks gestation). What are her

G-P-Ab numbers? Feel free to use another (or more

detailed) format if you want.

We had a group discussion about this today, and

found that we had some unexpected differences of

opinion. Then, we checked a variety of references

and also found differences there.

Maxine Pate

hire-Pattison EMS

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Dr. Bledsoe,

Thanks for the reply. Para is the part where we

ran into differences. Some sources give a specific

gestation age; others do not. Some say that it

refers to the numbr of pregnancies that have

delivered (so twins would count as 1); others say

that it refers to the number of babies that have

delivered (so twins would count as 2). Some sources

say that only deliveries that result in a live birth

count; some say that all deliveries count, living

or dead.

The sources included EMS textbooks, internet

searches, and the usual number of " My instructor

taught... " , " A doctor told me... " , " An L & D nurse

said... " type of references.

This all started with a sitting-around-the-station

discussion today. Each of us was so confident

that we were doing it " the right way " that we

were surprised to find that there were so many

differences. I decided to post the question to the

group out of curiosity - I wondered if these

differences or misunderstandings are common.

Maxine

---- Original message ----

Date: Tue, 23 May 2006 23:36:59 -0500

Subject: RE: G, P, Ab

To: <texasems-l >

>GRAVIDA

>

>The number of times a woman has been pregnant.

>

>PARA

>

>The number of times she has given birth

>

>ABORTIS

>

>Numer of fetal losses before 20 weeks.

>

>A GIPO or POGI is a woman pregnant with her first

pregnancy (G1P0)

>

>Often these are followed by: T P A L

>

>T=TERM

>P=PREMATURE

>A=Abortions

>L=Living Children

>

>A women pregnant for the 4th time, has had 1

abortion and has two living

>children is a: G4P3 (2-0-1-2)

>

>Does that help?

>

>Page 653 of Volume 3 of Paramedic Care:

Principles and Practices 2/ed has a

>good discussion of this if I do say so.

>

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Twins would count as 1 delivery. Thus a mother who just delivered twins

would be a G1P1 (2-0-0-2). All deliveries past 20 weeks count (alive or

dead) or infants weighing more than 500 grams.

A woman who has had 2 abortions and 3 miscarriages would be a

G5P0 (0-0-5-0).

OB still retains many of the old terms and phrases (i.e., Grand

Multiparity).

BTW: AMA in OB is Advanced Maternal Age and means the mother is over 35

years.

RE: G, P, Ab

To: <texasems-l >

>GRAVIDA

>

>The number of times a woman has been pregnant.

>

>PARA

>

>The number of times she has given birth

>

>ABORTIS

>

>Numer of fetal losses before 20 weeks.

>

>A GIPO or POGI is a woman pregnant with her first

pregnancy (G1P0)

>

>Often these are followed by: T P A L

>

>T=TERM

>P=PREMATURE

>A=Abortions

>L=Living Children

>

>A women pregnant for the 4th time, has had 1

abortion and has two living

>children is a: G4P3 (2-0-1-2)

>

>Does that help?

>

>Page 653 of Volume 3 of Paramedic Care:

Principles and Practices 2/ed has a

>good discussion of this if I do say so.

>

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