Increasing the length of the second stage of labor to two hours for multiparas, three hours for nulliparas and even longer in certain cases, such as the use of an epidural. (homebirthsummit.org)
Prolapses that occur at home (multiparas pay attention) almost always result in death. (ecochildsplay.com)
Mothers of preterm new borns have had previous preterm deliveries, SGA babies, miscarriages and stillbirth when multipara. (scirp.org)