Abstract：Objective To analyze the value of analgesia delivery combined with free posture delivery nursing in primiparas with vaginal delivery. Methods A total of 268 primiparas with vaginal delivery who met the standard in our hospital from March 2016 to July 2018 were selected, and they were divided into control group and research group according to the random number table method, 134 cases in each group. The control group received analgesia delivery, while research group was given free posture delivery based on control group, and was given reasonable nursing intervention during delivery. The time of each stage of labor, pain degree and delivery outcome were compared between the two groups. Results There were 64 cases of pain degree with 0-2 during delivery in research group and 39 cases in control group, and research group was more than control group, and the difference was statistically significant (Z=3.612, P＜0.001). The time of first to third stage of labor and total stages of labor in research group ([6.12±1.51] h, [1.01±0.31] h,[7.88±1.59] min, [7.69±1.62] h) were shorter than those in control group ([9.01±1.79] h, [1.79±0.29] h, [12.61±2.89] min,[11.01±1.78] h), and the differences were statistically significant (t=21.758, 21.270, 16.600, 15.968, P＜0.001). The incidence of postpartum hemorrhage rate, conversion to cesarean section and neonatal asphyxia in research group (0.75%,1.49%, 0.75%) were lower than those in control group (5.97%, 8.96%, 5.97%), and the differences were statistically significant (χ2=4.139, 7.537, 4.139, P＜0.05). Conclusion Analgesia delivery combined with free posture delivery for primiparas with vaginal delivery is better than simple analgesia delivery, it can shorten the time of stages of labor, relieve delivery pain, reduce the incidence of postpartum hemorrhage and neonatal asphyxia, and increase the safety of delivery.
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