GTPAL
Also written as: GTPAL — Gravida, Term births, Preterm births, Abortions, Living children
An obstetric notation system documenting Gravida, Term births, Preterm births, Abortions, and Living children.
Full Definition
GTPAL is a comprehensive obstetric history notation system that provides detailed information about a woman's reproductive history. G represents total pregnancies (gravida), T represents term births (≥37 weeks), P represents preterm births (20-36 weeks), A represents abortions (pregnancy losses before 20 weeks, including therapeutic terminations), and L represents currently living children. For example, GTPAL 4-2-1-1-3 indicates 4 total pregnancies, 2 term births, 1 preterm birth, 1 abortion, and 3 living children. This system provides more clinical detail than the simple gravida/para notation and is essential for risk stratification and care planning.
Usage
Usage note: Always present as five numbers separated by hyphens. Ensure accuracy as this affects clinical decision-making and risk assessment.
In Context
- "Patient's obstetric history: GTPAL 3-1-1-1-2, indicating one term birth, one preterm birth, and one early pregnancy loss." — Initial prenatal assessment
- "Please update the chart to reflect her current GTPAL status following this delivery." — Postpartum documentation