Abstract：【Objective】To explore the application effect of one-on-one doula accompaniment combined with perineal massage in primiparas' childbirth. 【Methods】A total of 106 primiparas who delivered vaginally in our hospital from November 2023 to November 2024 were selected and divided into an observation group and a control group according to the random number table method, with 53 cases in each group. The control group received routine nursing, while the observation group received one-on-one doula accompaniment combined with perineal massage nursing. The anxiety emotion [Hamilton Anxiety Scale (HAMA) score], childbirth well-being [General Well-Being Schedule (GWB) score], pain degree [Visual Analogue Scale (VAS) score], neonatal health status (neonatal Apgar score), labor duration, degree of perineal laceration and postpartum 2-hour blood loss were compared between the two groups. 【Results】The HAMA score and VAS score of the observation group were lower than those of the control group, the GWB score was higher than that of the control group, and the labor duration was shorter than that of the control group, with statistically significant differences (P<0.05). The perineal integrity rate of the observation group was higher than that of the control group, and the degree of perineal laceration was milder than that of the control group, with a statistically significant difference (P<0.05); the postpartum 2-hour blood loss of the observation group was less than that of the control group, with a statistically significant difference (P<0.05). There was no statistically significant difference in the neonatal Apgar score between the two groups (P>0.05). 【Conclusion】One-on-one doula accompaniment combined with perineal massage can reduce the anxiety and pain of primiparas, improve childbirth well-being, shorten labor duration, reduce the degree of perineal injury and postpartum 2-hour blood loss, and has high safety.
李舒琴, 李捷, 刘凤. 一对一导乐陪伴联合会阴按摩在初产妇分娩中的应用效果[J]. 医学临床研究, 2025, 42(10): 1746-1748.
LI Shuqin, LI Jie, LIU Feng. Application Effect of One-on-One Doula Accompaniment Combined with Perineal Massage in Primiparas' Childbirth. JOURNAL OF CLINICAL RESEARCH, 2025, 42(10): 1746-1748.
2025, Vol. 42 
