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).
It is mainly used in case of unexpected prehospital cases: it is possible to know 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 time she was pregnant, the duration of the labour, the duration of the contractions, the interval between two contractions, and whether she broke the water or not. Each criterion is evaluated by a number between zero and two:
Malinas score
| Score | number of pregnancy so far | Duration of the labour | Durationof 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 is likely, especially if the woman feels a need to push.
