Examining the Influence of Accompanying Midwifery with Position Guidance on Delivery Outcomes
Download PDF


Accompanying midwifery throughout the whole process
Position guidance
Delivery outcome



Submitted : 2023-08-27
Accepted : 2023-09-11
Published : 2023-09-26


Objective: To explore and analyze the influence of accompanying midwifery with position guidance on delivery outcomes. Methods: A total of 68 puerpera who were admitted to Dafeng People’s Hospital from April 2021 to April 2023 were recruited, grouped using odd and even number draw methods, and divided into cooperation and regular groups with 34 cases in each group. The patients in the cooperation group cooperated with the process of accompanying midwifery and position guidance, whereas the patients in the regular group had routine midwifery intervention. The delivery outcome, the duration of each labor process, the psychological state, and the amount of postpartum hemorrhage were compared between the groups. Results: The delivery outcomes of vaginal delivery and cesarean section in the cooperation group were significantly better than those in the regular group (P < 0.05). The difference was not statistically significant when comparing the cooperation group with the regular group through a lateral vaginal incision (P > 0.05). The duration of each labor process in the cooperation group was significantly shorter than in the regular group (P < 0.05). Before the intervention, the HAMD and HAMA scores of the two groups were insignificant (P > 0.05); but the HAMD and HAMA scores of the cooperation group were significantly lower than the regular group after the intervention (P < 0.05). The amount of postpartum bleeding in the cooperation group was markedly lower than that in the regular group (P < 0.05). Conclusion: Accompanying midwifery and position guidance throughout the delivery process can improve delivery outcomes and increase the natural delivery rate.


Wei X, Wang X, Hou F, et al., 2023, The Impact of Midwife Companion Intervention Based on Gentle Delivery Combined with Late Pregnancy Birth Dance on First-Time Mothers’ Degree of Labor Pain and Delivery Outcomes. Clinical Medical Research and Practice, 8(9): 134–136.

Sun Q, Yang W, 2023, Intervention Effect of Postural Training Combined with One-on-One Doula Accompanied by Midwives on Natural Childbirth. Shanxi Medical Journal, 52(5): 396–399.

Chang X, Song Y, 2023, The Influence of Midwife Companionship Based on the Concept of Gentle Delivery Combined with Free Position Intervention During Labor on the Degree of Labor Pain, Self-Control, and Confidence of Primipara. Clinical Medicine Research and Practice, 8(6): 149–151.

Ye L, Sha J, 2021, The Effect of a Doula Accompanying Childbirth Combined with a Free Position on Maternal Discomfort and Negative Emotions During Labor. Chinese Maternal and Child Health Care, 36(23): 5414–5417.

Fan X, Chen Y, 2021, The Effect of One-on-One Midwives’ Whole-Course Companionship Combined with Free Posture on the Natural Delivery Rate and Total Labor Process of Primiparous Women with Water Bladder Trials. Heilongjiang Medicine, 45(14): 1550–1552.

Wu Q, 2021, Analysis of the Influence of Birthing Ball Combined with Free Position Midwifery on Labor Pain, Labor Control, and Pregnancy Outcome of Primiparous Women. Chinese Community Physician, 37(15): 58–59.

Xie W, 2020, Study on the Effect of Doula Accompanying Delivery Combined with Positional Nursing on Labor Process and Analgesic Effect of Epidural Labor Analgesia in Primipara. Chinese and Foreign Medical Research, 18(8): 76–78.

Lin G, 2020, The Effect of One-on-One Full-Time Accompanied with Doula Combined with a Free Position on the Total Labor Process of Natural Delivery in Elderly Primiparas. Capital Food and Medicine, 27(4): 182.

Lai Z, Li Z, Liang D, et al., 2020, Application Effect of Doula Companionship Combined with Position Guidance in Delivering Older Women. Chinese Medical Science, 10(1): 184–186 + 190.

Xiao H, Liu W, Li Y, et al., 2019, The Clinical Value of Doula Labor Analgesia Instrument Combined with Position Management and One-on-One Accompanying Labor in Promoting Natural Childbirth. China Maternal and Child Health Care, 34(19): 4567–4570.

Kang Y, Wu X, 2019, The Effect of Free Positional Delivery Combined with a Doula Company on the Sense of Self- Control and Delivery Outcome of Primiparous Women with Painless Delivery. Modern Diagnosis and Treatment, 30(18): 3237–3239.

Yin Y, Li Y, Dong S, 2019, Observation on the Effect of Combined Application of Doula Companionship, Free Position, Combined Lumbar-Epidural Anesthesia, and Labor Analgesia on Promoting Natural Childbirth. Chinese and Foreign Medical Research, 17(20): 10–12.

Li Y, Yin Y, Dong S, et al., 2019, Effects of Doula Company, a Free Position and Labor Analgesia on Pregnancy Outcome and Delivery Satisfaction of Primiparas. Chinese and Foreign Medical Research, 17(19): 172–174.

Mo F, Zhu D, Li T, 2019, The Effect of Dedicated Personnel Accompanying the Whole Process of Delivery Nursing Combined with Free Position Delivery on the Rate of Cesarean Section and Postpartum Depression. Chinese Maternal and Child Health Care, 34(12): 2720–2722.

An R, 2018, The Effect of One-on-One Companionship of Doula-Midwives Combined with Free Posture on the Cesarean Section Rate and Labor Duration of Full-Term and Singleton Primiparas. Modern Medical Imaging, 27(8): 2944–2945.