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Dec 28, 2023 · Gravidity and parity (GP) are a 2-digit system to record pregnancy and birth history of the women. This is more basic method of recording obstetric history which only include information about woman’s number of pregnancies and births. Gravidity refers to the total number of pregnancies regardless of its outcome.
- Opening The Consultation
- Presenting Complaint
- History of Presenting Complaint
- Systemic Enquiry
- Current Pregnancy
- Previous Obstetric History
- Gynaecological History
- Past Medical History
- Drug History
- Family History
Wash your hands and don PPEif appropriate. Introduce yourself to the patient including your name and role. Confirm the patient’s name and date of birth. Explainthat you’d like to take a history from the patient. Gain consentto proceed with history taking.
Use open questioning to explore the patient’s presenting complaint: 1. “What’s brought you in to see me today?” 2. “Tell me about the issues you’ve been experiencing.” Provide the patient with enough timeto answer and avoid interrupting them. Facilitate the patient to expand on their presenting complaintif required: 1. “Ok, can you tell me more abo...
Once the patient has had time to communicate their presenting complaint, you should explore the issue with further open and closed questions.
A systemic enquiryinvolves performing a brief screen for symptoms in other body systems which may or may not be relevant to the primary presenting complaint. A systemic enquiry may also identify symptoms that the patient has forgotten to mention in the presenting complaint. Deciding on which symptoms to ask about depends on the presenting complaint...
Gestation
Clarify the current gestational age of the pregnancy(e.g. 26 weeks and 5 days would be written as “26+5”). Accurate estimation of gestation and estimated date of delivery (EDD) is performed using an ultrasound scan to measure the crown-rump length.
Scan results
Women are offered an ultrasound scan to check for fetal anomalies between 18+0 and 20+6 weeks. You should ask about the results of the scan (or check the medical records if the patient is unsure). The key findings to note include: 1. Growth of the fetus: clarify if it was within normal limits for the current gestation. 2. Placental position: if embedded in the lower third of the uterine cavity there is an increased risk of placenta praevia. 3. Fetal anomalies: note any abnormalities identified.
Screening
There are several types of screeningthat women are offered during pregnancy: 1. Down’s syndrome screening 2. Rhesus status and the presence of any antibodies 3. Hepatitis B, HIV and syphilis. You should clarify if the patient has opted for screening and if so, what the results were.
It is important to ask about a woman’s previous obstetric history, as this may help inform the assessment of risk in the current pregnancy and have implications for the mode of delivery.
Cervical screening: 1. Confirm the date and result of the last cervical screening test. 2. Ask if the patient received any treatment if the cervical screening testwas abnormal and check that follow up is in place. Previous gynaecological conditions and treatments: 1. Sexually transmitted infections 2. Endometriosis 3. Bartholin’s cyst 4. Cervical e...
A patient’s past medical history is particularly relevant during pregnancy, as some medical conditions may worsen during pregnancy and/or have implications for the developing fetus. Ask if the patient has any medical conditions: 1. “Do you have any medical conditions?” 2. “Are you currently seeing a doctor or specialist regularly?” If the patient d...
It is essential to gain an accurate overview of the medications the patient is currently and has previously taken during the pregnancy. The first trimester is when the fetus is most at risk of teratogenicity from drugs, as this is when organogenesis occurs.
Taking a brief family history can help to further assess the risk of adverse outcomes to the mother and fetus during pregnancy. This can also help inform discussions with parents about the risk of their child having a specific genetic disease (e.g. cystic fibrosis). Some important medical conditionsto ask about include: 1. Inherited genetic conditi...
- Dr Lewis Potter
Apr 30, 2023 · GTPAL: Guide to Gravidity and Parity in Obstetrics. When it comes to prenatal care, healthcare providers use various measures to assess the health of the mother and the developing fetus. One of these measures is using the GTPAL system, an acronym that represents a woman’s obstetric history. In this article, we’ll take a closer look at GTPAL ...
Dec 22, 2017 · Gravidity is the total number of pregnancies, regardless of outcome. Parity is the total number of pregnancies carried over the threshold of viability (24+0 in the UK). Examples [Macleod’s 2005, p.212]: Patient is currently pregnant; had two previous deliveries = G3 P2.
Sep 20, 2010 · Obstetric history. It is important to take a brief obstetric history as part of a gynaecological assessment, as it may be relevant to the patient’s presentation. This is less detailed than a focused obstetric history. Gravidity and parity. Gravidity is the number of times a woman has been pregnant, regardless of the outcome.
- Dr Lewis Potter
Gravidity and parity. In biology and medicine, gravidity and parity are the number of times a female has been pregnant (gravidity) and carried the pregnancies to a viable gestational age (parity). [1][2] These two terms are usually coupled, sometimes with additional terms, to indicate more details of the female's obstetric history. [3] When ...
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Mar 30, 2017 · The basic obstetric history is documented in a specific format, noting gravidity and parity. Gravidity (G) is the number of confirmed pregnancies; a gravida is a term for a person who has had at least 1 pregnancy. Parity (P) is the number of deliveries at ≥ 20 weeks of gestation.
