头位分娩评分法在4000例孕妇分娩过程中的应用

Application of Head Position Delivery Scoring Method in the Delivery Process of 4000 Pregnant Women

目的 探讨头位分娩评分法在孕妇分娩过程中的应用价值。方法 选取2020年1月—2022年12月于郑州市妇幼保健院进行建档住院的4 000例待产分娩孕妇作为研究对象,所有孕妇在宫口已开时都给予头位分娩评分,观察与记录所有孕妇的分娩方式与头位分娩评分法状况,记录新生儿出生1 min与出生5 min的Apgar评分,记录所有孕妇的产后并发症发生情况。结果 在4 000例孕妇中,Apgar评分≤8分者156例、9~10分者894例、≥11分者2 950例。不同头位分娩评分法孕妇的年龄、孕周、孕次、产次对比差异无统计学意义(P>0.05)。≤8分者的剖宫产率为100.0%,9~10分者、≥11分者分别为35.3%、5.7%,对比差异有统计学意义(P<0.05)。≤8分者、9~10分者、≥11分者的新生儿出生1 min与出生5 min的Apgar评分对比差异无统计学意义(P>0.05)。≤8分者、9~10分者、≥11分者的产后发热、产后出血、产后血肿、产后尿潴留等并发症发生率为分别为13.5%、2.0%、0.2%,对比差异有统计学意义(P<0.05)。结论 头位分娩评分法在产科中处理头位分娩时具有指导价值,值得推广应用。

Objective To explore and analyze the application values of the head position delivery scoring method in the delivery process of 4000 pregnant women.Methods Selected 4000 cases of pregnant women as the study object,all pregnant women gave head delivery score,observed and recorded the delivery mode and head delivery scoring method,recorded the Apgar score of 1 min and 5 min,and recorded the occurrence of postpartum complications of all pregnant women.Results Among the 4000 pregnant women,156 scored≤8,894 scored 9-10,and 2950 scored≥11.There was no significant difference in the age,gestational age,pregnancy time and delivery status of pregnant women in different head delivery scoring methods(P>0.05).The cesarean section of patients with≤8 score was 100.0%,those with 9-10 score and those with≥11 score were 35.3%and 5.7%,respectively,and there were significant differences(P<0.05).There was no significant difference in Apgar score between newborns with≤8 scores,9-10 scores and≥11 scores at 1 min and 5 min after birth(P>0.05).The incidence rates of puerperal fever,postpartum hemorrhage,postpartum hematoma and postpartum urinary retention were 13.5%,2.0%and 0.2%in patients with≤8 score,9~10 score and≥11 score,respectively,and there were significant differences(P<0.05).Conclusions The head delivery scoring method has guiding value in handling head delivery in obstetrics and is worth promoting and applying.