Objective  To explore the application value of midwife-led partnership-based Doula delivery in the childbirth nursing of primiparas.

  Methods  The clinical materials of 176 primiparas were retrospectively analyzed. According to the intervention methods, they were divided into observation group (n=80) and control group (n=96). Observation group was given midwife-led partnership-based Doula delivery, and control group was given routine intervention. The labor delivery time and delivery outcomes were compared between the two groups, and the overall labor pain pain visual analogue scale (VAS), anxiety visual analogue scale-anxiety (VAS-A) and childbirth control sense labour agentry scale (LAS) were evaluated.

  Results  The first stage of labor, second stage of labor and total labor time in observation group were significantly shorter than those in control group (P < 0.05). The postpartum hemorrhage, lateral episiotomy rate and perineal laceration rate in observation group were significantly lower than those in control group (P < 0.05), and there was no significant difference in the rate of neonatal apgar score < 8 points between the two groups (P>0.05). The scores of VAS and VAS-A in observation group were significantly lower than those in control group (P < 0.05). The LAS score in observation group was significantly higher than that in control group (P < 0.05).

  Conclusions  Midwife-led partnership-based Doula delivery can produce good analgesia and anxiety relief effect, and promote the acceleration of labor and improve the delivery outcomes.