Obstetrics GPA Quiz

GPA Overview

• GPA stands for Gravida, Para, Abortus and summarizes obstetric history.
• Gravida (G) indicates the total number of pregnancies.
• Para (P) reflects the number of pregnancies carried to viable gestational age.
• Abortus (A) refers to the number of pregnancies that ended before viability.

Case Summaries

• Case 1: Patient's history includes 1 miscarriage and 1 elective abortion.

  • GPA: G2, P0, A2

• Case 2: Patient has one living child and a history of ectopic pregnancy and 2 miscarriages.

  • GPA: G4, P1, A3

• Case 3: Patient is currently 32 weeks pregnant, has living twins, and an ectopic pregnancy in history.

  • GPA: G3, P1, A1

TPAL Overview

• TPAL represents Term, Preterm, Abortus, and Living.
• Term (T) signifies pregnancies delivered at term.
• Preterm (P) indicates pregnancies delivered before term but after viability.
• Abortus (A) refers to pregnancies that ended before viability.
• Living (L) counts the number of living children.

Case Summaries

• Case 4: Delivered preterm twins in first pregnancy.

  • TPAL: T0, P1, A0, L2

• Case 5: Carried one term pregnancy, one preterm pregnancy with twins, and had one ectopic pregnancy.

  • TPAL: T1, P1, A1, L3

• Case 6: Currently 18 weeks pregnant; has previously delivered one baby at 38 weeks and two babies at 32 weeks.

  • TPAL: T1, P2, A2, L3

GTPAL Overview

• GTPAL includes Gravida, Term deliveries, Preterm deliveries, Abortions, and Living children.
• It provides a more detailed summary compared to GPA and TPAL.

Case Summaries

• Case 7: Carried 2 pregnancies to 38 weeks, 1 at 34 weeks with twins, with 1 abortion and 4 living children.

  • GTPAL: G4, T2, P1, A1, L4

• Case 8: Involves 1 pregnancy to 37 weeks with twins, 1 pregnancy to 26 weeks with fetal demise, and another to 34 weeks.

  • GTPAL: G3, T1, P2, A0, L3

• Case 9: Gave birth at term once and had a miscarriage at 12 weeks.

  • GTPAL: G2, T1, P0, A1, L1