International Journal of Nursing Research

Objective To analyze the impact of midwife led pain management mode on pain relief and delivery methods for primiparous women in obstetrics. Methods A comparative clinical study was conducted on 66 primiparous women admitted for delivery between January 2025 and May 2025. After admission, the women were randomly divided into two groups using a random number table. The control group (33 cases) received routine delivery care, while the study group (33 cases) received pain relief delivery management led by midwives. Compare the differences in delivery time, intrapartum pain score (NRS), delivery mode, perinatal indicators, and incidence of adverse pregnancy outcomes among primiparous women under different nursing modes. Results Compared with the control group, the study group showed a significant decrease in the first and second stages of labor, total labor time, and NRS score during labor (P<0.05). Compared with the control group, the proportion of vaginal delivery in the study group increased, and the incidence of adverse pregnancy outcomes, postpartum oxytocin application rate, and 2-hour postpartum bleeding were all reduced, with statistically significant differences (P<0.05). Conclusion The use of midwife led pain management during delivery in primiparous women can actively improve their pain perception during labor, shorten the labor process with assistance, improve the success rate of vaginal delivery and the quality of pregnancy outcomes, and have a definite effect.

Primiparous women; Delivery care; Midwives lead pain relief and delivery management; Production time