头位难产的分娩方式和新生儿窒息风险关系

目的 :探讨头位难产分娩方式与新生儿窒息风险关系。方法 :应用头位分娩评分法对 135例足月单胎头位难产初产妇进行评分 ,按评分分组处理。结果 :　≤ 8分 ,剖宫产率 10 0 % ,新生儿窒息率 16 7%。 9分 ,10分 ,11分3组分娩方式具有显著性差异 ,P <0 0 5。 3组阴道分娩的新生儿窒息率 ,差异无显著性 ,P >0 0 5。结论 :评分≤ 9分者应放宽剖宫产指标 ,评分 10分者应作短期试产。评分 >10分者大胆试产 ,阴道分娩不因评分低而增加新儿窒息率。

Relationship between labor forms in head presentation difficult labor and danger of asphxia neonatorum

Objective: To probe into the relationship between labor forms in head preaentation difficult labor and danger of asphxia neonatorumMethods: 135 term pregnancy women of single with head presentation difficult labor were into this study The 135 women were assigned into groups with head pelvis scoreResults: In group≤8, the rate of asphxia neonatorum was 16.7% and the rate of cesarean section was 100%; ( P <005) the labour forms had much difference and the rate of asphxia neonatorum had no significant difference ( P >005) among groups (9,10,11) Conclusion: Cesarean section indexes should be wider when score is≤9 Trying to labor should be done in short time (score=10) and in enough time (score>10) Vaginal delivery does not add to rate of asphxia neonatorum with low score