[Music] online [Music] hello nurses midwives and top notchers welcome back to my youtube channel so molina parasitic obstetrics and gynecology lecture chatting youtube channel so youtube channel so don't forget to click the subscribe button below and click bell button for more video updates at subscribe channel subscribe my video content sucking channel don't forget to like and share the videos and comment ads don't skip the ads guys to support my channel so thank you very much and i'm excited about starting lecture it's all about our gpt palm or the obstetrical history taking in obstetrics and gynecology so p for para t for term p for pre term and a for abortion l for leaving children and m for multiple pregnancy so it points to gpt palm it updated negan again for obstetrical history taking again so we have your obstetrical history taking over mnemonics we have your gpt palm mnemonics so g for gravida p for para t for term p for pre term a for abortion l for leaving children and m for multiple pregnancy so anu bank ibik sabina gpt palm oil gravida para turn pre-term abortion leaving children and your multiple pregnancy all right so pakistan letter g that is your gravida so if you say gravida gravida is the total number of your pregnancies okay again letting go it is the total number of pregnancies so yes you will include here your past pregnancies and your present pregnancy so including this is the total number of pregnancies carried by the mother during their past or their present pregnancy period so include moody doing i think shame mnemonics and shame so s for stillbirth h for your h mole pregnancy a for your abortion m for your multiple pregnancy and e for your ectopic pregnancy again holy tinko so he includes it is counted as one gravida okay so you will include your shame mnemonics s for your uh stillbirth h for your h mole pregnancy a for your abortion and for your multiple pregnancy and e for ectopic pregnancy multiple unknown pregnancy multiple pregnancies is still counted as one gravida because it is the total number of pregnancies uh of the mother okay regardless of the outcome of the pregnancy okay so you will include here your past pregnancies and your current or present pregnancy all right so you don't have to be belonging again i'm pregnant it is still counted as one gravida all right so how about letter p supposing nothing letter p letter p stands for para okay so parity or para so if we say parity parity is the total number of pregnancy deliveries that reaches the age of viability liver more than 20 weeks that is counted as para or so all pregnancy deliveries that reaches the age of viability is counted as para anapubang age of viability in apinagusapanaten an age of viability positive obstetrics is more than 20 weeks so less than 20 weeks that is not counted as para okay so young abortion a hindi accounted as a pakistan abortion is less than 20 weeks but stillbirth is counted as para casey i'm still birth that is total number of your pregnancy deliveries that reaches the age of viability which is more than 20 weeks age of the station okay so one para away so again so g for the total number of pregnancies that will include the past and present young pina management or the total number of pregnancy deliveries that reaches the age of viability so eb that reaches your term 37 to 42 weeks gestation all right so 37 to 42 weeks gestation other books says 37 to 41.5 weeks gestation is still considered parent term young baby because 37 weeks is considered as the early term in your pregnancy and full term is 38 to 40 all right 38 to 40 weeks is the full term pregnancy um 37 to 42 weeks that is counted as your term delivery okay 38 or 40 still that is counted as one term delivery all right still they are counted as one term delivery so pakistan letter p satan gpt palm letter p stands for your pre-term deliveries okay so this is the number of pre-term delivered by the mother so pakistan pre-term any deliveries between 20 weeks to 36.5 weeks that is considered as pre-term delivery right so for multiple pregnancy or twin pregnancies kappa doma they are still counted as one all right so the number of your preterm delivered kappa twins i one parent so nothing letter p letter p is the total number of your pre-term deliveries so pakistan term deliveries between 20 weeks to 36.5 weeks of gestation all right so letter a stands for your number of abortions all right so basically abortions abortion is also known as the miscarriage okay so miscarriage is your abortion so any pregnancy losses uh less than 20 weeks pregnancy that is abortion right so the termination of pregnancy uh before the age of viability is termed as your abortion so lahat namanga is uh less than 20 weeks pankanyan gestation that is counted as abortion okay against superstition we have your number of current living children okay so that is alive after birth or that is your alive at [Music] obstetrical scoring setting obstetrical history taking against letter g for gravida p for your party t for your term p for your pre term a for abortion and for leaving children and your m for multiple pregnancy so young gravida nathan total number of uh pregnancies so you will include the past and the present pregnancy okay letter p for your parity lahatma deliveries any pregnancy termination less than 20 weeks gestation so less than 20 weeks and abortion and you living them and nothing is the number of children which is currently alive okay so the number of living children be belonging all right so wherever kim is four months pregnant and she had a spontaneous abortion with her last pregnancy she has a daughter born at 38 weeks in a sun at 35 weeks so what is her gt pal four months pregnant so that is counted as one gravida so she had spontaneous abortion with her last pregnancy another gravida then she has a daughter born at 38 weeks so another gravida puyon and a sun at 35 weeks so another gravida puyon against pakistan that is the total number of pregnancies [Music] 38 weeks so that is counted as one term delivery okay so letterpin nothing is your pre-term okay some preterm and nasa 20 weeks to 36.5 weeks weeks gestation so hanapino is a situation 20 weeks to 36.5 gas station and that is the sun at 35 weeks at 35 weeks so that is your pre-term delivery so isaiah pre-term the next abortion so teaching nothing connect conversion abortion so she had a spontaneous abortion with her last pregnancy so that is counted as one abortion and leaving children at 38 weeks 35 weeks okay [Music] obstetrical score now g4 t1 p1 a1 and l2 okay so another situation so we have your mrs castro is making her first anti-title visit she has a two-year-old son born at 40 weeks a 5 year old daughter born at 38 weeks and a 7 year old twin daughters born at 35 weeks she had a spontaneous abortion three years ago at 10 weeks using the gtpal format mrs castro is a g4 t3 p2 a1 l4 b g5 t2 p2 a1 l4 c g5 t2 p1 a1 l4 or d g4 t3 p1 a1 l4 so sabino nothing practice makes perfect so titina nothing to let asparagus [Applause] [Music] is making her first anthropital visit so ebik's opinion at present bon tissie mrs castro first and the portal visit so one gravida napoleon okay the next she has a two-year-old son born at 40 weeks another gravida puyon so next a five-year-old daughter born at 38 weeks okay so another gravida puyon then a seven-year-old twin daughter is born at 35 weeks so another gravidade in puyon okay so she had a spontaneous abortion three years ago at 10 weeks so another gravida didn't put you on so mrs castro so see she has a two-year-old son born at 40 weeks second gravida nyon a five-year-old a daughter born at 38 weeks third gravida and seven-year-old twin daughters young twin counted as one gravida denso pang apatna puyo in 35 weeks then she had a spontaneous abortion three years ago at 10 weeks is [Applause] 37 to 42 weeks gestation so um 37 to 42 weeks at the situation she has a two-year-old son born at 40 weeks so in 40 weeks that is counted as term pregnancy all right a five-year-old daughter born at 38 weeks so 40 weeks after eight weeks that is your term deliveries so meroshan the long-term delivery all right some pre-term ayuman between 20 weeks to 36.5 weeks of gestation so taking the now is not in satin situation [Music] between 20 weeks to 36.5 pregnancy somaki kita natindito mero shang 7 year old twin daughters born at 35 weeks so in 35 weeks napoleon that is counted as preterm young kanye abortion sonic current spontaneous abortion three years ago at 10 weeks young 10 weeks i less than 20 weeks kaya abortion so one abortion pusha so leaving children punya at the present be belonging nothing in buhay at the present so you got in two-year-old son 40 weeks so one one uh one living napoleon the next five-year-old daughter born at 38 weeks the next 7 year old twin daughters so twin daughters individually so in the morning spontaneous abortion as a living children casting aborted naman pusha so four living children posing mrs castro so ankanyan obstetrical score i letter c g5 t2 p1 a1 and l4 then next we have here another situation so a 26 year old female is currently 26 weeks pregnant she had a miscarriage at 10 weeks gestation five years ago she has a three-year-old who was born at 39 weeks so what is her gt pal score so 99 year old female is currently 26 weeks pregnant so that is one gravida she had a miscarriage at ten weeks gestation five years ago another gravidar on abort five years ago so next we have where she has a three-year-old who was born at 39 weeks so that is another gravida so the present pregnancy is counted as one gravida then the previous miscarriage is one gravida and your three-year-old boy born at 39 weeks is 37 to 42 weeks gestation so it's 37 to 42 weeks 10 year old young epinephrine at 39 weeks okay so so five years ago [Music] [Music] is one and leaving is one so sinai g3 t1 p0 a1 and l1 then for our last drill question sabidito a 35 year old female is currently pregnant with twins okay she has 10 year old triplets who were born at 32 weeks gestation and 16 years old who was born at 41 week gestation so 12 years ago she had the miscarriage at eight weeks gestation so what is her g people score so nine only nothing grabbed a score so a 35 year old female is currently pregnant with twins the next she has a 10 year old triplets okay so 10 year old triplets who were born at 32 weeks so kai triplet papuyon is still that discounted as another one gravida okay the next and a 16 years old who was born at 41 week gestation so that is 16 year old maggie salancha so one grab that in puyon then 12 years ago she had a miscarriage at eight weeks gestation so miscarriage is still a gravida so that is that is foreign situation [Music] another one is young 16 year old who was born at 41 week gestation so leaving children at the present is for against leaving children at the present so ibu posabinian sinan idi tong kanyang score is g4 t1 p1 a1 and l4 so in short it is a g4 t1 p1 a1 l4 obstetrical score so the next marrow detected in the situation the client is pregnant with twins she has five-year-old so what is the gravida and the para of this pregnant client so you is the number of your pregnancy and para is pregnancy that reaches the age of by ability 20 weeks gestation client is pregnant with twins okay so she has five years old now i is a woman who is pregnant and parity means the number of births after 20 weeks gestation garland nothing gravida gravida is the total number of pregnancies regardless of the outcome so you will include here the current pregnancy and your past pregnancy so take note that each pregnancy count as one regardless of the number of your fetuses right so number two we have this term known as the nulli gravida so nothing means no prior pregnancies so never been pregnant woman is turned back is nollie gravida at number three currently in her first uh first pregnancy so a woman on her first pregnancy is termed as your primary gravida and if we say multi-gravity or the second degravida okay multi-gravida or second degree that means two or more pregnancies so including the current pregnancy multi gravitas that is termed as your multi gravida or your secondary gravida woman against sopaksinabi punating gravida that is your counting of your total number of your pregnancies regardless of the outcome of that pregnancy so each pregnancy count as one regardless of the number of fetuses never been pregnant you are termed as normally gravida woman all right pakistan first time montpak bubuntis you are termed as primigravida okay so parity is the number of your births after 20 weeks gestation all right so meron tai didn't talk about multiple gestation like her twin triplets so still they are still counted as one party all right so number two and i didn't term nothing only means zero okay zero or no prior votes after 20 weeks gestation um 20 weeks gestation or voila 20 weeks gestation and above so that disturbance all right the number three over primary para and that is a common void question pakistan okay from the word grand gay grand means five or more births after 20 weeks gestation so nakalima or so never been delivered more than 20 weeks gestation so never passionate delivery more than 20 weeks all right [Music]