Terminology:

• Gravida = Number of pregnancies (including the current) • Para = Number of previous pregnancies carried past 20 weeks • Primip (Primapara) = person having their 1st birth • Multip (Multipara) = person having their 2nd or later birth • Term gestation = >37 weeks to 42+0 completed weeks

Example: G2 P1 female at 38 weeks = a woman who has had a previous delivery and is pregnant for the second time. She is a multip. If she were to deliver, this would be considered a term delivery.

When NOT to Transport:

1. When the patient is in the late second stage of labor (pushing) 2. When there are signs of imminent delivery

Signs of second stage of labor and imminent birth:

• Strong contractions lasting 60-90 seconds - Primips: q2-3min - Multips: q5min • Cramping severe enough to impede ambulation • Contractions associated with urge to push or move the bowels • Patient reports feeling pressure in their buttocks, stretching or burning of the perineum • Patient tells you, “baby is coming” • Bloody show visible at the perineum • Presenting part of bulging membranes visible at perineum

If delivery has not occurred at the scene within approximately 10 minutes of initial assessment, consider transport to hospital.

Description of contractions:

• Frequency = the length of time between the beginning of one contraction to the beginning of the next • Length = the duration of the contraction • Strength = can be determined by placing the fingertips at the top of the fundus (uterus) and feeling how tight the muscle is at the peak of the contraction

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