新式头位分娩评分法对判断初产妇持续性枕横位、枕后位分娩方式的临床价值

目的:设计一种在临床上能更及时、准确地做出顺产与难产判断的头位分娩评分法,并探讨其对判断初产妇持续性枕横位、枕后位分娩方式的临床价值。方法:拟定新式头位分娩评分法,对236例诊断为持续性枕横位、枕后位的初产妇进行临床分析。结果:新式头位分娩评分法总分小于70分者,90.63%行剖宫产术,大于80分者91.49%经阴道分娩(P<0.01),无一例严重母婴并发症发生。结论:新式头位分娩评分法全面地对整个产程及胎儿情况进行量化评分,对顺产与难产做出综合判断,在确保母婴安全的情况下,尽可能地降低了剖宫产率。

A Clinical Study of Improved Scoring for Head- position Delivery in Primiparas with Persistent Occiput Posterior Position or Persistent Occiput Transverse Position

Objective:To design an improved scoring for head-position delivery, and investigate its value in persistent occiput posterior position(POPP) or persistent occiput transverse position(POTP). Methods:Set up the improved scoring and apply it to the clinical analysis in 236 primiparas with POPP or POTP.Results:According to this improved scoring, there was 90.63 % of caesarean section when the score less than 70,and 91.49 % of vaginal delivery when the score more than 80. No maternal and fetal complication occurred.Conclusions:The improved scoring for head-position delivery provides a quantitative score to the overall labor and the fetal situation, so that we could make a better estimation on the normal delivery or dystocia.