作者回顾分析初产臀位1 218例,其中剖腹产772例(63.38％),阴道分娩446例(36.62％)。以孕周、胎儿体重、先露类型、骨盆大小和早破水作为五项评分指标,根据两种分娩方式的评分分布的回顾性分析,将总评分(10分)划分为四个评分等级,作为选择分娩方式的综合评估尺度。其具体方法如下:孕周大于39周、介于37～39周之间、小于37周分别记0、1、2分;粗测胎儿体重大于3 700克、介于3 000～3 500克间和小于3 000克分别记0、1、2分;先露类型为足、全臀、单臀分别记0、1、2分;骨盆大小为狭 The authors retrospectively analyzed 1 218 cases of primiparous breech, including 772 cases (63.38%) of caesarean sections and 446 cases (36.62%) of vaginal deliveries. Based on the five gestational age, fetal body weight, first exposure type, pelvis size, and premature rupture of water, the total score (10 points) was divided into four grades by retrospective analysis according to the distribution of the two modes of delivery. Select the mode of delivery of comprehensive assessment. The specific methods are as follows: gestational age greater than 39 weeks, ranging from 37 to 39 weeks, less than 37 weeks were recorded 0,1,2 points; crude test fetus weight greater than 3 700 grams, ranging between 3 000 ~ 3 500 grams And less than 3 000 grams were recorded 0,1,2 points; first revealed the type of foot, total hip, single hip were recorded 0,1,2 points; pelvic size narrow