Investigation on application status of doula accompany delivery and ana-lysis of its influencing factors
Objective To explore the application status and influencing factors of doula accompany delivery.Methods A total of 293 puerpera who gave birth in the Third People's Hospital of Chengdu from March 2021 to March 2023 were selected as the research subjects.The application status of doula accompany delivery was statistically analyzed,according to the application of doula accompanied delivery,the parturients were divided into doula delivery group and non-doula delivery group,and the risk factors affecting choice of doula accompany delivery were analyzed.Results The proportion of puerpera who chose doula accompany delivery when uterine orifice opened to 3 cm were higher than those during labor,when the u-terine orifice opened to 2 cm,and in the second stage of labor;and the proportion of doula accompany delivery at the end of the third stage of labor were higher than those at the end of the first stage and at the end of the second stage of labor,the proportion of puerpera who chose midwives as doula companions was higher than that of puerpera who chose full-time doula attendants and obstetricians.The proportions of puerpera with age 30 years old,urban residence,education level of senior high school and above,maternity insurance,monthly family income＞5 000 yuan,primipara,understanding of knowledge of doula accompany delivery,and experience of doula accompany delivery were higher in doula delivery group than those in non-doula delivery group(P＜0.05).Urban residence,education level of senior high school and above,monthly family in-come＞5 000 yuan,primiparae,understanding of knowledge of doula accompany delivery,and experience of doula accompany delivery were the in-fluencing factors of maternal choice of doula accompany delivery(P＜0.05).Conclusion Most puerpera choose to start doula accompany delivery when the uterine orifice opens 3 cm and end doula accompany delivery at the end of the third stage of labor.The influencing factors of maternal choice of doula accompany delivery are urban residence,education level of senior high school and above,understanding of knowledge of doula ac-company delivery and experience of doula accompany delivery.
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