头位分娩评分法在4000例孕妇分娩过程中的应用OA

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.