Abstract: Objective To investigate the effects of painless childbirth combined with midwife delivery escort services on the delivery mode, labor duration and postpartum depression of parturients. Methods 165 parturients of hospital delivery in the hospital from January 2017 to June 2017 were retrospectively collected. They were divided into midwifery group(midwife delivery escort, 78 cases)and combination group(painless childbirth combined with midwife delivery escort, 87 cases)according to different intervention methods. Muleteer analgesia score was used to evaluate the pain of parturients during delivery. The delivery mode, total labor duration and maternal and neonatal outcomes were recorded. The edinburgh postnatal depression scale(EPDS)was used in the investigation at 7 days and 28 days after delivery. Results The Muleteer analgesia score and total labor duration of the combination group were significantly less than those of midwifery group(P<0.05). The vaginal delivery rate of the combination group(83.91%)was significantly higher than that of midwifery group(60.26)(P<0.05). The EPDS scores of the combination group at 7 days and 28 days after delivery were significantly lower than those of midwife group(P<0.05). There was no significant difference in the incidence of postpartum hemorrhage, postpartum urinary retention, neonatal asphyxia or fetal distress among all groups(P>0.05). Conclusion Painless childbirth combined with midwife delivery escort services can significantly reduce the pain of parturients, decrease the cesarean section rate, shorten the total labor duration, and improve maternal postpartum depression.

Key words: painless childbirth, midwife, delivery mode, labor, postpartum depression