STATUS OBSTETRI

Summary

In this educational tutorial, Disa introduces the concept of status offsetting in obstetrics, explaining the GPA (Gravida, Para, Abortus) system used to record pregnancy histories. She clarifies key terms, such as Gravida (total pregnancies), Para (viable births), and Abortus (abortions), while providing practical examples. Viewers are encouraged to participate by answering case study questions in the comments. The video aims to help students or healthcare workers understand and apply these important obstetric notations for exams and clinical practice.

Takeaways

• 😀 The video discusses the concept of 'status offsetting,' which is also known as GPA (Gravida, Para, Abortus).
• 😀 'Gravida' (G) refers to the total number of pregnancies a woman has had, including the current one.
• 😀 'Para' (P) represents the number of pregnancies that resulted in the birth of a viable baby (over 28 weeks gestation or 1000 grams).
• 😀 'Abortus' (A) refers to pregnancies that ended in spontaneous or induced abortion before 20 weeks gestation or if the fetus weighs less than 500 grams.
• 😀 'H' stands for the number of live children born, indicating successful births.
• 😀 Multiple births are counted as one pregnancy under the 'Gravida' and 'Para' classifications, even if multiple babies are born.
• 😀 Ectopic pregnancies or pregnancies with complications, such as a miscarriage, are counted under 'Abortus.'
• 😀 The example case discussed involves a pregnant woman who has had one live child and one miscarriage, resulting in a GPA of G3P1A1.
• 😀 Another example involves a woman with a history of a molar pregnancy and miscarriage at 14 weeks. Her current pregnancy is at 24 weeks, and she is highly concerned due to her previous complications.
• 😀 The video encourages viewers to answer a quiz in the comments section, practicing the writing of 'status offsetting' for a given case.
• 😀 Viewers are reminded to like, comment, and subscribe for further learning and preparation for competency exams.

Q & A

What does the term 'status offsetting' refer to in the context of this script?

The term 'status offsetting' refers to a method used to record and categorize a woman's obstetric history, including the number of pregnancies (Gravida, G), live births (Para, P), and miscarriages or abortions (Abortus, A).

What does 'G' represent in the status offsetting formula?

'G' stands for 'Gravida,' which refers to the total number of pregnancies a woman has experienced, including the current pregnancy.

What does 'P' represent in the status offsetting formula?

'P' stands for 'Para,' which refers to the number of pregnancies that resulted in a live birth, where the fetus could potentially survive outside the womb, typically defined as a pregnancy of 28 weeks or more or with a birth weight above 1000 grams.

What does 'A' represent in the status offsetting formula?

'A' stands for 'Abortus,' which refers to pregnancies that ended in abortion, either spontaneous or induced, before the fetus reached 20 weeks or weighed less than 500 grams.

What does 'H' represent in the status offsetting formula?

'H' represents the number of live-born children a woman has delivered.

How should a twin pregnancy be recorded in the status offsetting formula?

In the case of a twin pregnancy, the 'Gravida' (G) and 'Para' (P) are recorded as one each, because the mother delivers only once despite having two babies.

How should an ectopic pregnancy be recorded in the status offsetting formula?

An ectopic pregnancy is considered an abortion (A) and should be recorded as such in the status offsetting formula.

In the first case scenario, what is the correct status offsetting for a woman who is 34 weeks pregnant with one live-born child and one miscarriage?

The correct status offsetting for this woman would be G3P1A1, meaning she has had 3 pregnancies (Gravida), 1 live birth (Para), and 1 miscarriage (Abortus).

What is the status offsetting for a woman who had a molar pregnancy in her first pregnancy and a miscarriage in her second pregnancy at 14 weeks?

The correct status offsetting for this woman would be G3P0A2, where she has had 3 pregnancies, no live births, and 2 abortions (one from a molar pregnancy and one from a miscarriage).

What is the significance of a woman being concerned about her current pregnancy due to her previous pregnancy history, as seen in the second case?

The woman's concern is understandable due to her previous history of a molar pregnancy and miscarriage, which could lead to anxiety about her current pregnancy. It's important for healthcare providers to address her concerns and provide support and monitoring to ensure a healthy outcome.