In GTPAL, L stands for Living children.

• A. Living children
• B. Late-term births
• C. Losses
• D. Livable years

Answer: (A)

In GTPAL, L stands for the number of Living children. This term specifically counts how many of a woman’s children are currently alive, not just how many were born. The other letters cover Gravida (total pregnancies), Term births (born at term), Preterm births (before term), and Abortions (pregnancies ending before viability). So L reflects survival, and is reduced if a child from a prior pregnancy has died. For example, if a woman has had two term births who are alive and one abortion, her L would be 2, while G would be 3, T would be 2, P would be 0, and A would be 1.