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    MCN Gtpal

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    BSN 1-N CASTRO, Ricci
    This document discusses methods for estimating expected due dates (EDD), age of gestation (AOG), and gravida, para, term, abortion, living (GTPAL) information. It defines relevant terms and describes Naegel's method, adding 9 months and 7 days to the last menstrual period, and using fundal height and menstrual cycle length to estimate EDD and AOG. It also explains the comprehensive GTPAL classification system.

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    MCN Gtpal

    Uploaded by

    BSN 1-N CASTRO, Ricci
    57 views3 pages
    This document discusses methods for estimating expected due dates (EDD), age of gestation (AOG), and gravida, para, term, abortion, living (GTPAL) information. It defines relevant terms and describes Naegel's method, adding 9 months and 7 days to the last menstrual period, and using fundal height and menstrual cycle length to estimate EDD and AOG. It also explains the comprehensive GTPAL classification system.

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    MCN-GTPAL

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    This document discusses methods for estimating expected due dates (EDD), age of gestation (AOG), and gravida, para, term, abortion, living (GTPAL) information. It defines relevant terms and describes Naegel's method, adding 9 months and 7 days to the last menstrual period, and using fundal height and menstrual cycle length to estimate EDD and AOG. It also explains the comprehensive GTPAL classification system.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    57 views3 pages

    MCN Gtpal

    Uploaded by

    BSN 1-N CASTRO, Ricci
    This document discusses methods for estimating expected due dates (EDD), age of gestation (AOG), and gravida, para, term, abortion, living (GTPAL) information. It defines relevant terms and describes Naegel's method, adding 9 months and 7 days to the last menstrual period, and using fundal height and menstrual cycle length to estimate EDD and AOG. It also explains the comprehensive GTPAL classification system.

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    COMPUTING THE EDD, AOG, GTPAL

    DEFINITION OF TERMS HEALTH ASSESSMENT DURING


    1. Gravida PRENATAL VISITS
    • A pregnant woman. SCHEDULE OF PRENATAL VISITS
    • This refers to any pregnancy • Up to 28th week of pregnancy
    regardless of duration. ➢ Every 4 weeks
    2. Para • 28th – 36th week of pregnancy
    • A woman who has delivered a viable ➢ Every 2 weeks
    young (not necessarily living at • 36th week until Birth
    birth). ➢ Every week
    • Para is used with numerals to
    METHODS OF ESTIMATING
    designate the number of
    EDD & AOG
    pregnancies that have resulted in EDD
    the birth of a viable offspring 1. Naegel’s Method
    3. Nulligravida
    • LMP – 3 months + 7 days + 1 year
    • A woman who has never been
    pregnant.
    4. Nullipara
    • A woman who has not delivered a
    child who reached viability.
    5. Primigravida
    • A woman pregnant for the first time
    6. Primipara.
    • A woman who has delivered one
    child after the age of viability. 2. Another method is by Adding 9 months
    7. Multigravida. and 7 days (LMP from Jan – Mar only) to
    • A woman who has been pregnant the first day of the last menstrual
    more than once. period (LMP).
    8. Multipara.
    • A woman who has delivered two or
    more fetuses past the age of
    viability.
    • It does not matter whether they are
    born dead or alive.
    9. Grandmultipara.
    • A woman who has had six or more
    births past the age of viability.
    10. Viability.
    • Refers to the capability of a fetus to
    survive outside the uterus after the
    earliest gestational age
    (approximately 24 weeks gestation).
    11. In utero.
    • Refers to within the uterus
    COMPUTING THE EDD, AOG, GTPAL
    3. Some women have cycles that are • Height of the fundus (cm) ÷ 3.5 = age
    consistently longer than the average 28- of pregnancy in lunar months
    day cycle. In these cases, a pregnancy • Typically, tape measurement from
    wheel can still be used, but some simple the notch of the symphysis pubis to
    calculations are necessary. over the top of the uterine fundus as
    • The second half of a woman’s a woman lies supine is equal to the
    menstrual cycle always lasts for 14 week of gestation in centimeters
    days. This is the time from ovulation between the 20th and 31st weeks of
    to the next menstrual period pregnancy (e.g., in a pregnancy of 24
    • If your cycle is 35 days long, for weeks, the fundal height should be
    example, then you probably 24 cm).
    ovulated on day 21 (35 – 14 = 21)
    AOG
    • Once you have a general idea of
    1. Bartholomew Rule of 4ths
    when you ovulated, you can use an
    • Bartholomew's rule of fourths does
    adjusted LMP to find your due date
    not use a numerical height value to
    with a pregnancy wheel.
    compute gestational age, but
    • For example, if your menstrual cycle
    landmarks
    is usually 35 days long and the first
    day of your LMP was November 1:
    ➢ Add 21 days (November 22
    ➢ Subtract 14 days to find
    your adjusted LMP date
    (November 8)
    ➢ After you calculate your
    adjusted LMP date, simply
    mark it on the pregnancy
    wheel and then look at the
    date where the line crosses.
    That is your estimated due
    date.
    4. McDonald’s Rule (Fundal Height
    Measurement)
    • If LMP is not known.
    • Palpate the fundus and relate the
    height of the fundus with abdominal
    landmarks.
    • after week 24 of pregnancy the
    fundal height for a normally growing
    baby will match the number of
    weeks of pregnancy — plus or minus
    2 centimeters.
    • for example fundal height 27 cm. =
    27 weeks pregnant
    COMPUTING THE EDD, AOG, GTPAL
    AOG PRACTICE QUESTIONS GTPAL PRACTICE QUESTIONS

    OBSTETRICS HISTORY
    • Comprehensive system of classifying
    pregnancy status
    o G ( gravida ) – total # of pregnancies
    o P ( para) - number of deliveries that
    reached viability, regardless of
    whether the infant was born alive
    ▪ T = # of full-term infants
    born at 37 weeks or after
    ▪ P = # of preterm infants born
    before 37 weeks
    ▪ A = # of spontaneous or
    induced abortions
    ▪ L = # of living children
    ▪ M = # of multiple
    pregnancies.

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