Using the GTPAL system, how would a woman with a history of one vaginal birth, one miscarriage, and one living child classify her pregnancy at 18 weeks?

In the GTPAL system, the components represent:

• G: Gravida - the total number of pregnancies a woman has had, including the current one.

• T: Term births - the number of term pregnancies (born at 37 weeks or later).

• P: Preterm births - the number of preterm pregnancies (born between 20 and 36 weeks).

• A: Abortions - the number of pregnancies lost to miscarriage or elective termination before 20 weeks.

• L: Living children - the number of currently living children.

In this case, the woman has had one vaginal birth, which counts as a term birth. She has also had one miscarriage, which counts as one abortion. Lastly, she has one living child.

Given that she is currently at 18 weeks in this pregnancy, this current pregnancy does not add to the overall count yet as G only tracks total pregnancies including the current one. Therefore, she has had a total of 2 pregnancies (the vaginal birth and the miscarriage) before this current one, but the current pregnancy will be counted in G once her birth status is finalized.

Putting this together:

• Gravida (G): 3 (two previous pregnancies + current pregnancy)

• Term (T):