The gpal is a medical record of a woman’s reproductive history, where G is the number of pregnancies the woman has had, P is the number of fetuses born, A is the number of abortions the woman has had, and L is the number of viable fetuses out of those born. A woman’s reproductive history is one of the more important items in a woman’s medical record, and the GPAL can be used to determine whether a woman has a medical condition if she is currently trying to conceive. It can also help the woman to formulate pregnancy precautions, such as a high number of pregnancies, no number of abortions but the woman has a low number of viable fetuses, which can help the doctor to determine whether the patient has certain unfavorable factors that make it difficult for the patient to have a child, and can be more efficient and high-quality births. Patients with fertility or other problems can visit an OB/GYN or a fertility clinic to seek professional medical help.