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Obstetric history
Structure, gravida/para notation and GTPAL.
Source: Geeky Medics · UK practiceHeadings in order
- Key details: LMP, EDD, gestation.
- Presenting complaint and history.
- Obstetric symptoms: bleeding, pain, fetal movements, fluid leak, headache/visual change.
- Current pregnancy: scans, bloods, problems.
- Previous pregnancies: year, gestation, mode, complications, weight, outcome.
- Gynae history: smear, contraception, STIs, surgery.
- Past medical, drugs, allergies, family history.
- Social: smoking, alcohol, support, domestic abuse.
- Ideas, concerns, expectations; summarise.
Notation (UK)
| Gravida | All pregnancies including this one. |
|---|---|
| Para a+b | a = births ≥24 weeks (alive or stillborn); b = losses <24 weeks. |
| Example | G3 P1+1 = pregnant now, one birth ≥24 wk, one miscarriage. |
GTPAL (US)
| G | Gravida |
|---|---|
| T | Term births ≥37 wk |
| P | Preterm births 20–36+6 wk |
| A | Losses <20 wk |
| L | Living children (twins count twice) |
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.