*The term ‘gravida’ describes the total number of pregnancies that a woman has had, regardless of how they ended. The total includes any current pregnancy. The term ‘parity’ describes the number of live births at any gestation or the number of stillbirths after 24/40. In describing multiple gestations, twins will count as one pregnancy but two live births* ~ Obstetric by ten teachers
My first comment on youtube after using it for 8yrs but u made this so easy to understand after 4weeks of my OB rotation! I just had to drop off a comment
This was so helpful..thanks for including the example with twins and emphasizing that it deals specifically with the number of pregnancies and not necessarily the number of children, especially in multiple births
All time, MikeGrit will remain as the greatest man on earth, He saved tremendous live from dying poor, He’s absolutely saved my life too, And for this reasons am Ultimately grateful unto him
question why the hell make this so complicated rather than just saying this is the womans first baby. God I hate how they just decide to complicate it all.
Great video! Regarding the last case, why isn't the "TPAL" reported as 2153? I though "T" stood for termed "deliveries", and thus having twins at 38 weeks would count as 2 termed deliveries.Thanks
lol omg my instructor tried to explain this in lecture & very few people got it. what you did in 10 mins was awesome. i think had my instructor used twins as an example more people wouldve got it, like what your vid did.
Thank you so much. You managed to help my brain understand this in a few minutes that myself nor my professor could achieve in 3 months :) with these videos i feel that my grades should improve.
My professor taught me that for calculating Para simply two things (living issue or any viable issue after 28 weeks of gestation and the abortion should be considered)
The last one is G7 P3+5. She has 3 living children n had 5 ectopic pregnancies. Although she was pregnant once with the twins they are considered to be 2 individuals
Thank you for adding to my understanding. Recommend this video for understanding. What's not stated is the relationship to total parity to the breakdown for the complex example. It's simply not discussed - which could be significant. Perhaps the parity summary figure isn't provided when TPAL is complex? Don't know This is the point that might be expanded upon. Thanks again.
NICE video, helped me understand it way better. i have a question tho, why do we count the positive HCG test as a pregnancy when it has not been confirmed yet by the ultrasound?
i thought you said preterm= less than 35wks,,,,?meaning if the chirld reached 35 and more then that is term..with refderence to the hard exambple you gave,,were t=1and p=1 etc,,help there,,however,will definetly replicate your knowledge on this ,,thanks and kudos
Para is 2 I think. Para is the # of births completed at 20 weeks or longer, twins/triplets count as 1, and and stillbirths count as well. But the pregnancies have to last at least 20 weeks. This video did not touch on that which I find frustrating.
I just have a question, if the woman is not pregnant, just given birth to her first child at term, no prior pregnancies, should I write it as G1P1, or just P1, since she is not pregnant at the moment?
i have a question regarding the last question. This is the part where i always get the question wrong. What do you write in the P? cause in some exams they always require the whole thing to be written : G - P - (TPAL) G7 P ? (1153) should it be G7 P2 (1153)? or G7 P3 (1153?)
how do you calculate the P. the 3rd example I got T-2, P-1, A-0 and L-3. you gave an answer of P:3. How did you get your answer? great video and you explained this topic in a simple way. this is my first time learning this and plus I watched a previous video not from you that explained preterm, full and post term (this really helped me) thank you. I am awaiting your response
G7P2 because the twins count as 1 pregnancy. Para just means the number of pregnancies delivered at 20 weeks or greater, regardless of the number of fetuses.
*The term ‘gravida’ describes the total number of pregnancies that a woman has had, regardless of how they ended. The total includes any current pregnancy. The term ‘parity’ describes the number of live births at any gestation or the number of stillbirths after 24/40. In describing multiple gestations, twins will count as one pregnancy but two live births* ~ Obstetric by ten teachers
in the TPAL system does the L only count for the living children given birth by the same person , so it doesnt count the adopted children is that correct?
that was really great explanation for G and P , , and i like it , , but i have one problem in ur point about twins , , why did u except them as 1 in G ,, whereas at the beginning of ur lecture u were saying , , the G is " how many times the sperm has met the egg and formed a viable product of conception " so in twins we have 2 eggs rather than one ,,
Depending on if the twins are "identical" twins or "fraternal" twins would make the difference here. Identical twins are the result of a single fertilized egg splitting into two. This would be a true G1. However, if the twins were fraternal, your comment would be true since two eggs are each fertilized by individual sperm.
You defined gravida as the number of times the sperm meets an egg to form a viable product. What in case of molar pregnancy? We do consider it in gravida but it's a non viable product.
Simon Sins it will be G7 P2.. because P means no of total pregnancy crossing beyond age of viability.. in case of twins it will be count as 1 pregnancy..
The last one seems incorrect from what my professor has taught us in class. The gravida is correct because twins do count for one pregnancy but the term should be 2 instead of 1 because she carried 2 babies to term. This one refers to the number of individual babies carried to term. As we all know, twins can be born at different times so it is possible for one twin to be preterm and another to be full term.
Use of the acronym GTPAL is another way to describe pregnancy outcomes, where G = pregnancies or gravida, T = term pregnancies delivered, P = preterm pregnancies delivered, A = abortions, and L = living children. GTPAL is used by some authors to describe infants instead of pregnancies delivered. In this usage, T signifies term infants born, and P signifies preterm infants born (Box 7-1). Because the acronym is not used consistently, it can be confusing. (Murray, 2014, p. 106) Murray, S. S., McKinney, E. S. (2014). Foundations of Maternal-Newborn and Women's Health Nursing, 6th Edition [VitalSource Bookshelf version]. Retrieved from online.vitalsource.com/books/978-1-4557-3306-4
![[DRAGON BALL LEGENDS REVEALS ＆ STUFF] LEGENDS FESTIVAL 2024 Special Edition Part 1](http://i.ytimg.com/vi/mV5bGIswTtQ/mqdefault.jpg)
*The term ‘gravida’ describes the total number of pregnancies that a woman has had, regardless of how they ended. The total includes any current pregnancy. The term ‘parity’ describes the number of live births at any gestation or the number of stillbirths after 24/40. In describing multiple gestations, twins will count as one pregnancy but two live births* ~ Obstetric by ten teachers
Last question T how will 1?twin born means two isnt it?please clear someone it
@@mubin2015twin baby but one gravid state born at 38 means at Term so T = 1 but Live = 2
@@mubin2015 G1 P2
Slides designs are like pathoma videos
👍🏼👍🏼
Wxcellent video too
My first comment on youtube after using it for 8yrs but u made this so easy to understand after 4weeks of my OB rotation! I just had to drop off a comment
+osa mota Glad you liked it!
My teacher used this as a resource in class to help get a better understanding. This has helped me so much, thank you!
Thanks for the great feedback!
this helped me understand this so much better
This was so helpful..thanks for including the example with twins and emphasizing that it deals specifically with the number of pregnancies and not necessarily the number of children, especially in multiple births
All time, MikeGrit will remain as the greatest man on earth, He saved tremendous live from dying poor, He’s absolutely saved my life too, And for this reasons am Ultimately grateful unto him
I had no idea what my prof was talking about yesterday but thanks to your video, I understand it better now. :)
question why the hell make this so complicated rather than just saying this is the womans first baby. God I hate how they just decide to complicate it all.
I am in nursing school and this was a fantastic video to help me understand the concepts. Thank you so much for taking your time.
Great video! Regarding the last case, why isn't the "TPAL" reported as 2153? I though "T" stood for termed "deliveries", and thus having twins at 38 weeks would count as 2 termed deliveries.Thanks
You are AWESOME! You explained that so well! Keep it up!
Best explained video..loved it
Thank you so much for this! It's helping me for my exam on Monday!
Searched for hours to find this! Thanks SO much!!
Very nice explaination in just simple word
Omg thank u after a lot of years it's so helpful
It really helps! I was so confused about T and P, but now I get it. Thank you for the video.
You are THE BEST !
Thank you so much, I am studying to my Nclex RN and your explanation was very easy to understand.
You are very good.
Thanks
excellent and simple video segment
You're AWESOME!!! It was really useful for my maternity test tomorrow!
Great very nice
The video is very educative, am grateful 🙏
very helpful refresher!! and very clear explanation - thank you!
Thank you so much for breaking it down to bite size pieces. Appreciated 🤗
lol omg my instructor tried to explain this in lecture & very few people got it. what you did in 10 mins was awesome. i think had my instructor used twins as an example more people wouldve got it, like what your vid did.
Thank you so much. You managed to help my brain understand this in a few minutes that myself nor my professor could achieve in 3 months :)
with these videos i feel that my grades should improve.
Wow really clear my concept
My professor taught me that for calculating Para simply two things (living issue or any viable issue after 28 weeks of gestation and the abortion should be considered)
good job....
You are an angel. Thank u for simplifying things🙏💕
Great way to explain😊👍
Thanks a lot!
So useful thank you for this knowledge ❤️
It is fantastic , Look forward to see more like this .thnx mate
Thank you, very helpful!
would you count it under para if the fetus hasn't reached 37 weeks yet? thank you
The last one is G7 P3+5. She has 3 living children n had 5 ectopic pregnancies. Although she was pregnant once with the twins they are considered to be 2 individuals
G7 P2+5 3alive
Sir u explain in an very easy manner
Informative
Helped alot 👍👍
Thank you for adding to my understanding. Recommend this video for understanding. What's not stated is the relationship to total parity to the breakdown for the complex example. It's simply not discussed - which could be significant. Perhaps the parity summary figure isn't provided when TPAL is complex? Don't know This is the point that might be expanded upon. Thanks again.
NICE video, helped me understand it way better. i have a question tho, why do we count the positive HCG test as a pregnancy when it has not been confirmed yet by the ultrasound?
Thank you for your explanation
Really helpful ❣️
very nice it's useful
thank you sooooooooooooooooo much you are the best
Very helpful...thank u
youre the best thanks. its so easy
i thought you said preterm= less than 35wks,,,,?meaning if the chirld reached 35 and more then that is term..with refderence to the hard exambple you gave,,were t=1and p=1 etc,,help there,,however,will definetly replicate your knowledge on this ,,thanks and kudos
what was the P in the last example? T-1, P-1, A-5 and L-3
Preterm born 35 weeks is 1
G 7
P ?
@@NajeebKhan-dt6me para is no of births so it would be 2 I guess if I m not wrong
Para is 2 I think. Para is the # of births completed at 20 weeks or longer, twins/triplets count as 1, and and stillbirths count as well. But the pregnancies have to last at least 20 weeks. This video did not touch on that which I find frustrating.
In parity twins are not counted as one bcz the no. Of living children is 2.
Thanks u help me a lot please upload more topic on fundal height
Thank you so much!
Thank you very much.
I just have a question, if the woman is not pregnant, just given birth to her first child at term, no prior pregnancies, should I write it as G1P1, or just P1, since she is not pregnant at the moment?
AWESOME! THANK YOU!!
Thank you for posting!
i have a question regarding the last question. This is the part where i always get the question wrong. What do you write in the P? cause in some exams they always require the whole thing to be written : G - P - (TPAL)
G7 P ? (1153)
should it be G7 P2 (1153)?
or G7 P3 (1153?)
I think G7P3
G7 P2... Forget all 5 abortions, you have one term pregnancy(Twins) and one preterm 35 wks.
how do you calculate the P. the 3rd example I got T-2, P-1, A-0 and L-3. you gave an answer of P:3. How did you get your answer? great video and you explained this topic in a simple way. this is my first time learning this and plus I watched a previous video not from you that explained preterm, full and post term (this really helped me) thank you. I am awaiting your response
did you ever figure it out? I calculated the same answer you got
Did anybody figure out why P-A-L (1-0-3) translated to Para of 3? Is it because L = 3, so Para = 3? I'm confused.
2 full term plus 1 at preterm equals para 3
Good class
Thank you, this taught me in 10 min that weeks of lecture didnt!
Awesome
Should abortion ( here ectopic pregnancy) be depicted in para which is supposed to be gestational period which has crossed the period of viability ???
Thank you! It is so useful!!
Nice wan
Thank you for a good video
If a pregnant lady with 16 weeks of gestation presently,and history of Twins 2 year old @39 weeks &5 year old @40 weekswhat was the G &P ?
In the hard example, would it be G7P2, or P3 since it was twins?
G7P2 because the twins count as 1 pregnancy. Para just means the number of pregnancies delivered at 20 weeks or greater, regardless of the number of fetuses.
G7P3
*The term ‘gravida’ describes the total number of pregnancies that a woman has had, regardless of how they ended. The total includes any current pregnancy. The term ‘parity’ describes the number of live births at any gestation or the number of stillbirths after 24/40. In describing multiple gestations, twins will count as one pregnancy but two live births* ~ Obstetric by ten teachers
In last case ,why say 5 abortions in TPAL,should be 4 as count the past pregnancy outcomes ,kindly clarify ones
in the TPAL system does the L only count for the living children given birth by the same person , so it doesnt count the adopted children is that correct?
what would para by itself be for the last example?
Thanks
So the last one is G7p2 ?
Does a Chemical pregnancy count as a loss and add a number to the A category?
that was really great explanation for G and P , , and i like it , , but i have one problem in ur point about twins , , why did u except them as 1 in G ,, whereas at the beginning of ur lecture u were saying , , the G is " how many times the sperm has met the egg and formed a viable product of conception " so in twins we have 2 eggs rather than one ,,
Depending on if the twins are "identical" twins or "fraternal" twins would make the difference here. Identical twins are the result of a single fertilized egg splitting into two. This would be a true G1. However, if the twins were fraternal, your comment would be true since two eggs are each fertilized by individual sperm.
yaap , , ,that now make since , , , thanks for the explanation ,,
waiting for ur new , , ,
Thank you so much
So if a women has been pregnant 2x before , 2 living children , one pregnancy was a twin less pregnancy.
So would her gpa be g3p2a1
Thanks this is usufull info
In the last example, shouldn’t her Gravida be 0, since she isn’t currently pregnant?
thanx alot thats was sooo helpful
Thank you for this! 😊
I have a doubt, what will happen if there is an intra uterine death or still birth ??? Plz give an example
Would the last one be Para 4?
أستغفر الله العظيم الذي لا إله إلا هو الحى القيوم وأتوب إليه
Goo😀ood
Thank you alot
got it now, had to read book, parity is number of pregnancies in which fetus reaches viability approx 20 weeks, regardless born alive...
Thank you!
You defined gravida as the number of times the sperm meets an egg to form a viable product. What in case of molar pregnancy? We do consider it in gravida but it's a non viable product.
On the last example where the woman has twins, without using the TPAL is she a
G:7 P:8?
+Simon Sins Great question! I was thinking the same.
its going to be G:7 P:3 3 LIVING AND TWO PREGNANCIES THEY ALL GOT TO 2O WEEKS GESTATION
Simon Sins it will be G7 P2.. because P means no of total pregnancy crossing beyond age of viability.. in case of twins it will be count as 1 pregnancy..
Yeah or you could say G:7 P:3+5. Because 5 were
The last one seems incorrect from what my professor has taught us in class. The gravida is correct because twins do count for one pregnancy but the term should be 2 instead of 1 because she carried 2 babies to term. This one refers to the number of individual babies carried to term. As we all know, twins can be born at different times so it is possible for one twin to be preterm and another to be full term.
Use of the acronym GTPAL is another way to describe pregnancy outcomes, where G = pregnancies or gravida, T = term pregnancies delivered, P = preterm pregnancies delivered, A = abortions, and L = living children. GTPAL is used by some authors to describe infants instead of pregnancies delivered. In this usage, T signifies term infants born, and P signifies preterm infants born (Box 7-1). Because the acronym is not used consistently, it can be confusing. (Murray, 2014, p. 106)
Murray, S. S., McKinney, E. S. (2014). Foundations of Maternal-Newborn and Women's Health Nursing, 6th Edition [VitalSource Bookshelf version]. Retrieved from online.vitalsource.com/books/978-1-4557-3306-4
It can be done either way, that's why the book says these acronyms can be confusing
What gravida for 5 weeks pregnancy miscarriage?
Thank you.!
yes l do enjoy the video.hhuh hmmm thank you
AWESOME
ectopic pregnancy is counted as abortion?
thank you I got it Now!!!!
thank you so much!!!!!!!!!!!!!!!!!!
thank you!
thank you finally i got it!!!