Initially you might be learning these terms to pass the NREMT exam, but they are useful in real world situations. Some patients can be reported using the simple G-P-, but others will need the full para expressed using TPAL subcategories, which are discussed below. Para is the number of viable births, greater than 20 weeks gestation.This includes the current pregnancy if your patient is pregnant. Gravida is the number of times the mother has been pregnant.Learn all about gravida/para and TPAL here and then check out the gravida and para examples towards the bottom of this page. EMTs need to know how to calculate gravida and para for use in the field and for the NREMT exam. Reporting gravida and para on obstetric patients can get confusing for first responders. It’s a skill that many EMS don’t use often because they don’t see pregnant patients everyday.
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