Malinas score
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The Malinas score is an evaluation that allows to determine whether a pregnant woman is about to give birth. It was invented by Yves Malinas (French physician, died 20 january 1997).
Indications
It is mainly used in case of unexpected prehospital cases: the score indicates if it is possible to transport the pregnant woman or if it is best to let her give birth onsite. It is based on five criteria: how many times she has been pregnant, the duration of the labour so far, the duration of each contraction, the interval between two contractions, and whether or not her waters have broken.
Interpretation
Each criterion is evaluated by a number between zero and two:
| Score | number of pregnancy so far | duration of the labour | duration of the contractions | interval between two contractions | breaking of water |
|---|---|---|---|---|---|
| 0 | one | < 3h | < 1 min | > 5 min | no |
| 1 | two | between 3 and 5 h | 1 min | between 3 and 5 min | recently (< 1h) |
| 2 | three or more |
> 6h | > 1 min | < 3 min (at least 2 in 5 minutes) |
> 1h |
The score is the sum of these five criteria. When the score is less than five, it is possible to transport the pregnant woman to a maternity hospital or a medical structure. When the score is six or more, an imminent parturition (i.e. childbirth) is likely, especially if the woman feels a need to push.