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| Effect of Doula accompaniment combined with labor analgesia for primiparas and its influence on their labor progression and natural delivery rate |
| 1.Zhejiang University of Chinese Medicine, Zhejiang Province, 310053; 2. Xianju People's Hospital, Southeast Campus of Zhejiang Provincial People's Hospital, Xianju Hospital Affiliated to Hangzhou Medical College |
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Abstract To observe the application effect of Doula accompaniment combined with labor analgesia for primiparas. Methods: A total of 82 primiparous that planned to vaginal delivery were divided into two groups by random number table method from November 2022 to October 2023. 41 primiparous in the control group received the labor analgesia and routine obstetric care, while 41 primiparous in the observation group received Doula accompaniment additionally. The pain score by visual analogue scale(VAS), the labor progress and the natural delivery rate of the primiparous were compared between the two groups. Results: The VAS score during the first stage of labor(2.42±0.78 points), the second stage of labor(3.51±1.14 points) and the third stage of labor(5.06±1.17 points) of the primiparous in the observation group were significantly lower than those(4.53±1.49 points, 5.32±1.76 points and 7.21±1.36 points) of the primiparous in the control group. The durations of the first stage of labor(502.42±54.18 min), the second stage of labor(70.56±15.37 min), the third stage of labor(12.28±1.13 min) and the total stage of labor(585.26±61.84 min) of the primiparous in the observation group were significantly shorter than those(559.45±69.23) min, 108.23±33.52 min, 16.94±2.86 min and 684.62±70.76 min) of the primiparous in the control group. The natural delivery rate(85.4%) of the primiparous in the observation group was significantly higher than that(65.9%) of the primiparous in the control group(all P<0.05). Conclusion: Doula accompaniment combined with labor analgesia for the primiparous can alleviate their pain, shorten their labor process, and increase their natural delivery rate.
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