Nursing Lecture Notes: Obstetrics Core (GPT-POM)
Introduction
- Presented by Bonita Gracia, RN, aimed at nursing students and those preparing for the nursing board exam.
- Topic: Obstetrics core or GPT-POM - important for determining pregnancy outcomes.
GPT-POM Components
- Gravida: Number of times a woman has been pregnant, including:
- Previous pregnancies
- Current pregnancy
- H-mole (molar pregnancy)
- Parity: Number of pregnancies reaching age of viability (20 weeks)
- Term: Number of full-term deliveries (37-42 weeks)
- Preterm: Deliveries less than 37 weeks but more than 20 weeks
- Abortion: Pregnancies less than 20 weeks, including miscarriages and H-moles
- Living: Number of alive births, counting multiples individually
- Multiple: Number of multiple pregnancies (e.g., twins, triplets)
Detailed Explanation
Gravida (G)
- Includes H-mole, a non-viable pregnancy where placental tissue develops abnormally.
Parity (P)
- Count deliveries reaching 20 weeks.
Term (T) & Preterm (P)
- Term: 37-42 weeks
- Preterm: Less than 37 weeks but more than 20 weeks
Abortion (A)
- Pregnancies less than 20 weeks, includes H-mole.
Living (L) & Multiple (M)
- Living: Count each child in multiple births.
- Multiple: Count as one.
Examples
Example 1: Mrs. Sharon
- Currently pregnant, has 2 previous pregnancies at 38 weeks.
- Obstetric Score: Gravida 3, Parity 2, Term 2, Preterm 0, Abortion 0, Living 2, Multiple 0.
Example 2: Twin Pregnancy
- Pregnant with twins, 1 previous full-term twin pregnancy.
- Obstetric Score: Gravida 2, Parity 1, Term 1, Preterm 0, Abortion 0, Living 2, Multiple 1.
Example 3: Single Child
- Pregnant with twins, has a healthy 4-year-old at 37 weeks.
- Obstetric Score: Gravida 2, Parity 1, Term 1, Preterm 0, Abortion 0, Living 1, Multiple 0.
Example 4: IUFD Case
- 3 past pregnancies including an IUFD, currently pregnant.
- Obstetric Score: Gravida 4, Parity 3, Term 2, Preterm 1, Abortion 0, Living 2, Multiple 0.
Example 5: Complex Case
- Multiple miscarriages, previous IUFD, currently pregnant.
- Obstetric Score: Gravida 7, Parity 4, Term 3, Preterm 1, Abortion 2, Living 2, Multiple 0.
Key Points
- Current pregnancy only included in Gravida until delivered.
- Multiple pregnancies count as one; living counts each.
- IUFD (Intrauterine Fetal Death) is not an abortion.
- IUFD occurs at 20+ weeks; Abortion occurs before 20 weeks.
Conclusion
- Clarifies pregnancy terms for answering board exam questions.
- Channel reached 1,000 subscribers, gratitude to supporters.
- Motivation to continue producing educational content.