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You exercise? Do you use any of the following? Caffeine: Tobacco: Alcohol: Illicit/Recreational Drugs: Are you concerned about weight? Is violence at home a concern? Before Pregnancy During pregnancy: Amount/Years of use Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Have you ever had an eating disorder? Yes No Yes No Have you ever been abused? In the event of an emergency, is blood transfusion acceptable? Yes No Yes No Please list any personal and/or religious beliefs re.

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THIS FORM MAY BE REPRODUCED AND IS NOT FOR SALE. THIS CAN ALSO BE DOWNLOADED THRU THE SSS WEBSITE AT . sss.gov.ph.

The obstetric history of a female who has had four pregnancies, one of which was a miscarriage before 20 weeks, would be noted in the GPA system as G4P3A1 and in the GP system as G4P3. The obstetric history of a female who has had one pregnancy of twins with successful outcomes would be noted as G1P1+1.

The obstetric history consists of a history of preeclampsia/eclampsia, history of abortion, parity, pregnancy plan, and gestational distance.

Obstetric history No. of previous pregnancies. Date (month / year) Mode (vaginal / caesarian) Outcome (live birth, still birth, preterm, abortion, ectopic, vesicular mole)

How do you write gtpal? The number of pregnancies including current is G (gravidity), pregnancy total carried to term (37 weeks) as T, the preterm (20-36.6 weeks) pregnancy total as P, the abortion total as A (if it after 20 weeks it is counted as preterm), and number of living children is L.

® G3P1011-a woman who is currently pregnant, had one full term delivery and one abortion or. miscarriage and one living child. ® G2P1002- a woman who is currently pregnant. and had twins in her first pregnancy.

ï‚— AN OBSTETRIC HISTORY SHOULD INCLUDE: ï‚— Current pregnancy details. ï‚— Past obstetric history. ï‚— Past gynecological history. ï‚— Past medical and surgical history. ï‚— Drug history and allergies.

Previous Obstetric History. A good starting point is to ask about number of children the patient has given birth to. Next, sensitively ask about miscarriages, stillbirths, ectopics and terminations.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232