Contemporary Nursing

Objective To analyze the effect of free body position and Doula in the midwifery of primipara with painless delivery. Methods the primiparas who received painless delivery in our hospital from January 2024 to June 2025 were randomly divided into two groups (n=70). The experimental group was given free position and Doula midwifery, while the control group was given doula midwifery. The labor process time and other indicators were compared. Results the first and second stage of labor time: the experimental group (681.47 ± 68.25) min, (71.94 ± 12.51) min, the control group (724.79 ± 70.14) min, (83.06 ± 13.19) min, the difference was significant (P<0.05). There was no significant difference in the third stage of labor among the groups (P>0.05). The success rate of natural childbirth and cesarean section rate were 100.0% and 0.0% in the experimental group, 88.57% and 11.43% in the control group, P<0.05 Conclusion the use of free position and Doula method in the delivery of primipara with painless childbirth can significantly shorten the time of labor, have a higher success rate of natural childbirth, and have a lower cesarean section rate.

Painless delivery; Free position; Labor time; Doula midwifery