Application effects of midwife doula accompany delivery nursing in primiparas with natural childbirth
Objective:To observe application effects of midwife doula accompany delivery nursing in primiparas with natural childbirth.Methods:A prospective study was conducted on 106 primiparas with natural childbirth admitted to this hospital from January 2020 to June 2021.They were divided into observation group and control group by using the random number table method,53 cases in each group.The control group was given routine midwifery nursing,while the observation group was given the midwife doula accompany delivery nursing.The time of each stage of labor,the uterine contraction pain degree[visual analogue scale(VAS)]score,the delivery self-efficacy[Childbirth self-efficacy inventory(CBSEI-C32)]score,the incidence of adverse pregnancy outcomes,the vaginal bleeding volume 2 h after delivery,the neonatal 1 min Apgar score,and the nursing satisfaction were compared between the two groups.Results:The first stage of labor,the second stage of labor,the third stage of labor and the total stage of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The VAS score of the observation group was lower than that of the control group,the CBSEI-C32 score was higher than that of the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the incidences of cesarean section,perineal laceration and postpartum urinary retention between the two groups(P>0.05).The amount of vaginal bleeding 2 h after delivery in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 100.00%(53/53),which was higher than 83.02%(44/53)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The midwife Doula accompanying delivery nursing in the primiparas with natural childbirth can shorten the time of each stage of labor,reduce the VAS scores and the amount of vaginal bleeding 2 h after delivery,and improve the nursing satisfaction and the self-efficacy scores.Moreover,it is superior to routine midwifery nursing.