Abstract：Objective To investigate the application effect of Doule labor analgesia combined with whole-process accompanying painless labor in the delivery of elderly parturients.Methods A total of 70 cases of primary mothers who were expecting to give birth in our hospital from January to December 2018 were selected as research objects,and divided into observation group (n=36) and the control group (n=34) according to random number table method.The observation group used Dolol analgesia combined with painless delivery,while the control group used traditional delivery methods.The first,second and third,total labor duration,pain scale (PPI) score,self-rating depression scale (SDS)score,self-rating anxiety scale (SAS) score and maternal outcome (postpartum hemorrhage,puerperal infection,neonatal asphyxia,fetal distress) were compared between the two groups.Results The first,second,third and total labor duration of the observation group was shorter than that of the control group,the PPI scores of the first,second and third labor duration were lower than those of the control group,and the SDS and SAS scores were lower than those of the control group,with statistical differences (P＜0.05).The incidence of postpartum hemorrhage,puerperal infection,neonatal asphyxia and fetal distress in the observation group was lower than that in the control group,with statistical differences(P＜0.05).Conclusion The combination of Doula labor analgesia and whole-process accompanied painless labor can significantly shorten the length of labor,reduce the pain degree,improve maternal depression,anxiety and other negative emotions,and reduce the incidence of adverse maternal and infant outcomes such as postpartum hemorrhage,puerperal infection,neonatal asphyxia and fetal distress.
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