A pregnant woman has delivered premature twins and one full-term baby. What GTPAL should be documented?

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To determine the correct GTPAL notation for this scenario, it's essential to break down the components of the GTPAL system. GTPAL stands for Gravida, Term births, Preterm births, Abortions, and Living children.

In this case, we have:

  • Gravida (G): This refers to the total number of pregnancies the woman has had, regardless of the outcome. Since she has delivered three babies (two premature and one full-term), her gravida would be 3.

  • Term (T): This refers to the number of term births (usually defined as deliveries after 37 weeks of gestation). There is one full-term baby, so this is recorded as 1.

  • Preterm (P): This includes the number of preterm births (deliveries that occur between 20 and 36 weeks). The woman delivered two premature twins, contributing 2 to this category.

  • Abortions (A): This counts the number of pregnancies that ended before the 20-week mark, either through miscarriage or elective abortion. The question does not indicate any previous abortions, so this is recorded as 0.

  • Living (L): This is the total number of

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