许多作者报导妊娠期高危评分法可预测围产期死亡,又有些学者进行产程中的高危评分,并认为两者结合使用,可使其预测性更为准确。目前妊娠期的高危评分的预测性能达到满意的结果,但对产程中的评分因素尚有争论,争论的关键在于有些评分因素虽可证实胎儿处于危险状态,但已无足够的时间进行转院,抢救或进行高危因素转化治疗。本文的目的是从三方面来检验简易的产时评分是否能预测产程顺利与否,即围产死亡率,围产病率及母亲病率(以剖腹或中位产钳分娩的发生率来表示);另一方面分析联合采用产前评分法和产时评分法对高危孕妇,高危产妇的转化治疗是否有指导作用。本文分析了1,994例产妇,按产时评分≥3为高 Many authors report that gestational high-risk scores predict perinatal deaths and that some have high-risk scores in labor and believe the combination of both can make predictability more accurate. At present, the predictive performance of high risk pregnancy during pregnancy is satisfactory, but there are still controversies about the factors of labor in labor. The crux of the debate lies in the fact that although some scoring factors may confirm that the fetus is in a dangerous state, there is not enough time for transfer and rescue Or risk factors for conversion therapy. The purpose of this article is to examine whether simple birth-time scores predict the success of labor from three aspects: perinatal mortality, perinatal morbidity and maternal morbidity (expressed in terms of cesarean section or median forceps delivery) On the other hand, it is analyzed whether the combined use of prenatal scoring and birth-time scoring plays a guiding role in the treatment of high-risk pregnant women and high-risk pregnant women. In this paper, 1,994 mothers were analyzed and scored ≥3 on a production-by-labor basis