How should the obstetric history of a woman who has been pregnant three times, had two spontaneous abortions, and carried one baby to term be documented?

The obstetric history of a woman can be documented using the GTPAL system, which stands for Gravida, Term, Preterm, Abortions, and Living children.

In this case, the woman has been pregnant three times, resulting in two spontaneous abortions and one successful pregnancy carried to term. To break this down:

• Gravida (G) refers to the total number of pregnancies. Since she has been pregnant three times, her Gravida is 3.

• Abortions (A) includes both spontaneous and elective abortions. She has had two spontaneous abortions, so her Abortions count is 2.

• Para (P) refers to the number of pregnancies that have reached a viable gestational age, which includes both term and preterm deliveries. Here, since she has carried one baby to term and has no preterm deliveries, she records a total of 1 for Parity, or P.

When we put these figures together, her documentation should read as G3A2P1. This represents 3 pregnancies total, 2 abortions, and 1 live birth. Therefore, the correct way to document her obstetric history is G3A2P1.