How should a patient's GTPAL be recorded if this is her sixth pregnancy, with two living children and a previous miscarriage?

To understand the correct representation of GTPAL in this scenario, it's important to break down what each letter in the acronym signifies:

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

• T: Term births – the number of pregnancies that reached term (typically over 37 weeks).

• P: Preterm births – the number of pregnancies that resulted in a delivery before 37 weeks but after 20 weeks.

• A: Abortions – the number of pregnancies that ended before 20 weeks, either through miscarriage or elective abortion.

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

In this case, we are reviewing a patient who is on her sixth pregnancy (the current one), which indicates a Gravida (G) of 6. She has two living children, so the Living (L) number is 2. Additionally, there's mention of a previous miscarriage which equates to 1 abortion (A).

The term and preterm births are not directly specified, but since she has two living children, these are typically classified as Term births. For this record, we can assume they were at term, making the number of Term (T) births 2, and consequently