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Old 07-02-2011
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ObGyn TPAL System for Gravida Para Notation!

I found this question in NMS for obs and gyne

1. A woman presents to your office for prenatal care. She has had two abortions, two second-trimester miscarriages, one ectopic pregnancy, a fetal demise at 37 weeks' gestation, and two live births. Her son, who is now 13 years old, was delivered at 34 weeks' gestation by spontaneous vaginal delivery. Her daughter, who is now 10 years old, was delivered at 38 weeks' gestation by cesarean section secondary to fetal distress during labor. What are her Gs and Ps by simple notation and by TPAL notation, respectively?
A. G8 P2; G8 P1142
B. G8 P3; G8 P2142
C. G9 P3; G9 P2142
D. G8 P3; G8 P1142
E. G9 P3; G9 P2152

the MNS answer was C but i think the answer is E ??
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Old 07-02-2011
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can please paste the explanation from nms .. or from your side !! thanks it would be a great help!!

Last edited by akanksha; 07-02-2011 at 09:00 AM.
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Old 07-02-2011
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Default TPAL

Please, post the explanation, Thank you
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Old 07-02-2011
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The answer is C . Remember that parity refers to the number of pregnancies that reached viability (23 or more weeks of gestation) and not the number of pregnancies resulting in a live-born infant. Additionally, the route of delivery (vaginal versus cesarean section) does not change the parity. In this question's scenario, the woman has been pregnant nine times (her current pregnancy = 1. two abortions = 2, two miscarriages = 2, one ectopic = 1, one fetal demise = 1, and two live births = 2; 1+2 + 2 + 1 + 1+2 = 9). Only three pregnancies reached viability (fetal demise at 37 weeks, her preterm delivery at 34 weeks, and her term delivery at 38 weeks). For the TPAL notation, T refers to the number of term infants delivered regardless of outcome (fetal demise at 37 weeks and term delivery at 38 weeks = 2); P stands for preterm (preterm delivery at 34 weeks = 1); A stands for abortions, either elective or miscarriages (it does not include ectopic pregnancies) (2 abortions + 2 miscarriages = 4); and L refers to number of living offspring (son and daughter = 2). With multiple-gestation pregnancies, the parity does not increase by the number of babies delivered (e.g., a patient who has been pregnant once and delivered twins at 38 weeks would be noted as G1P1 and G1P1002).
but in NMS
P____: Referred to as the TPAL system of nomenclature. The first number represents the total number of full-term deliveries. The second number represents the total number of preterm deliveries at 20 weeks or greater. the third number represents the total number of spontaneous or therapeutic abortions as well as ectopic pregnancies occurring before 20 weeks of gestation. The fourth number represents the total number of living children. so we do include ectopic ??
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The above post was thanked by:
skido (07-03-2011)



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