Abstract

Purpose To evaluate the effect of midwifery-led doula companion care in puerpera delivery nursing. Methods 126 primiparas were admitted to our hospital from June 2018 to November 2019 by random sampling method. According to the order of admission of primiparas, they were divided into conventional group (63 cases) and study group (63 cases). The routine group of primiparas were given routine delivery care, while the research group of primiparas were given doula accompanied care by midwives. The time of labor, pregnancy outcome, delivery pain score, delivery control and anxiety score of the two groups were compared and analyzed. Results Compared with the conventional group, the time of the first, second and total labor was significantly shorter in the study group (P < 0.05). The amount of postpartum hemorrhage in the study group was significantly less than that in the conventional group (P < 0.05). The rate of perineal incision and perineal laceration in the study group was significantly lower than that in the conventional group (P < 0.05). There was no significant difference in Apgar score <8 points compared with the control group (P > 0.05). The scores of pain and anxiety in the second stage of labor were significantly lower in the study group than in the conventional group (P < 0.05). The control score of the puerpera in the study group was significantly higher than that in the conventional group (P < 0.05). Conclusion The intervention measures of companion doula led by midwives can effectively shorten the time of labor, reduce the anxiety and pain score and improve the sense of control during labor of primiparas. This nursing method has clinical promotion and application value.

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