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| Effects of the doula delivery under family coordination combined with the painless delivery for primiparas on their delivery outcomes and satisfaction |
| Huaibei People's Hospital, Huaibei, Anhui Province, 235000 |
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Abstract To explore the effects of the doula delivery under family coordination combined with the painless delivery for primiparas on their delivery outcomes and satisfaction. Methods: A total of 82 primiparas were included and were divided into observation group and control group (41 cases in each group) by the random number table method from January 2021 to October 2023. The primiparas in the two groups were given routine obstetric delivery intervention, while the primiparas in the observation group received the doula delivery under family coordination combined with the painless delivery additionally. The total labor duration, the scores of fears of childbirth questionnaire (FCQ), delivery control scale (LAS) and general self-efficacy scale (GSES), the labor pain grading, the delivery mode, the postpartum anxiety (SAS) and depression (SDS) self-rating scale scores, the maternal and neonatal adverse outcomes, and the maternal satisfaction rate of the primiparas were compared between the two groups. Results: The duration of the total stage of labor of the primiparas in the observation group was significantly shorter than that of the primiparas in the control group. The scores of FCQ, LAS and GSES of the primiparas in the observation group were significantly better than those of the primiparas in the control group. The labor pain grade of the primiparas in the observation group was significantly better than that of the primiparas in the control group. The natural delivery rate (97.6%) of the primiparas in the observation group was significantly higher than that (73.2%) of the primiparas in the control group. The vaginal midwifed rate and the incidence of the natural delivery turned to cesarean section of the primiparas in the observation group were significantly lower than those of the primiparas in the control group. The scores of the postpartum SAS (41.28±5.29 points) and SDS (42.93±4.95 points) of the primiparas in the observation group were significantly lower than those (49.36±6.23 points and 50.46±5.92 points) of the primiparas in the control group. The incidences of the maternal and the neonatal adverse outcomes (2.4% and 0) of the primiparas in the observation group were significantly lower than those (17.1% and 12.2%) of the primiparas in the control group. The maternal delivery satisfaction rate (95.1%) of the primiparas in the observation group was significantly higher than that (80.5%) of the primiparas in the control group (all P<0.05). Conclusion: The doula delivery under family coordination combined with the painless delivery for the primiparas can shorten their total stage of labor duration, reduce their fear of childbirth, improve their self-efficacy, alleviate their labor pain, increase their rate of natural delivery, improve their postpartum psychological state and reduce the maternal and neonatal adverse outcomes, and with the better maternal satisfaction.
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