产程图和头位分娩评分在头位难产识别和分娩方式选择上的价值

VALUE OF BIRTH PROCESS DIAGRAM COMBINED WITH CEPHALIC PRESENTATION SCORE IN THE RECOGNISE OF HEAD-POSITION DIFFICULT LABOR AND THE SELECTION OF THE MODE OF LABOR

目的评价产程图和头位分娩评分在头位难产的识别和选择分娩方式中的作用。方法用产程图和头位分娩评分法对850例头位初产妇产程进行观察评估,识别异常产程,选择恰当的分娩方式。结果产程图为Ⅰ型、Ⅱ型和头位分娩评分在12分以上的自然分娩率高;产程图为Ⅲ、Ⅳ型和头位分娩评分在11分的产妇阴道助产分娩率明显增高;产程图为V型和头位分娩评分在9分以下者全部采用了剖宫产。结论产程图结合头位分娩评分法,对头位难产异常产程的早期识别及选择恰当的分娩方式上具有重要的指导意义。

Objective To evaluate the role of the effection of birth process diagram combined with cephalic presentation score in the recognise of head - position difficult labor and the selection of the mode of labor. Methods 850 cases of nulliparous women were evaluated with birth process diagram and cephalic presentation score, to recognise the annormal labor process and to select the appropriate mode of labor. Results The natrural labor rate of nulliparous women was high of birth process diagram Type Ⅰ and Type Ⅱ and Cephalic presentation score above 12. The vaginal aid delivery rate of birth process diagram Type Ⅲ and TypeⅣ and cephalic presentation score from 10 to 11 was high. All of the Type Ⅴ and score below 9 accepted cesarean Section. Conclusion Birth process diagram combined with cephalic presentation score has very important role in the the recognise of head - position difficult labor and the selection of the mode of labor.