Delivery of pregnant women is a natural and complex physiological process, and is extremely vulnerable to external influences. Pain is an important factor that affects the mood and mentality of the parturient that whether they can give birth smoothly and naturally. Therefore, it is imperative to reduce the pain of pregnant women during childbirth. The traditional method to reduce labor pain is through intraspinal block anesthesia. Although the effect is significant, there are adverse reactions such as hypotension, itching, urinary retention, and postural headache after analgesia. Therefore, it is necessary to seek a universal, effective labor analgesia without side effects.

Mindfulness training has showed a good effect on the treatment of various behaviors and personality disorders as well as the general field of physical and mental health. By consulting the literature, it is found that the Doula App has a positive effect on alleviating the pain of childbirth. Practioner has found that the professional Doula assistance can also achieve better results in deliver. It can better relieve the emotions of pregnant women and make the delivery smoother. The results of this study showed that after the implementation of mindfulness delivery combined with Doula delivery, the observation group had no significant difference in the duration of the first, second, third and total labor of the pregnant women in the observation group and the control group (P>0.05). Accordingly, previously reported study by Gruber et al [6] have indicated that the observation group with mindfulness and doula assistance exhibit significantly shorter duration of each labor process as compared to the control group [6]. Moreover, we found that there was no significant difference in the length of labor duration between the experimental group and the control group. The bleeding volume in the experimental group was significantly lower than that in the control group at 2 hours postpartum (P<0.01), which indicated that the standard course of mindfulness relaxation before childbirth is an effective strategy. Moreover, arranging a one-on-one midwife doula to accompany delivery during labor can guide the new mother to pay attention to herself to experience childbirth with peaceful, accepting and open attitude, to pursue and realize the state of selflessness, improve pregnant women’s cognition of childbirth, actively adjust behaviors and emotions, and to keep pregnant women in a stable emotional and psychological state. Hence, by this relaxation strategy effective contractions occur thereby reducing bleeding in the 2 hours postpartum [7].

Moreover, the postpartum pain, anxiety, and depression scores of the experimental group were significantly lower than those of the control group, and the difference was statistically significant (P<0.01), indicating that mindfulness delivery combined with doula delivery assistance can significantly improve the clinical labor analgesic effect and reduce the side effects of drug analgesia, therefore, the pain of the parturient women during childbirth was greatly reduced. Moreover, it also helped in reducing the adverse psychological reaction of the postpartum anxiety and depression of the parturient, thus facilitating the smooth completion of the parturition and the recovery of postpartum physical and mental health [8]. Furthermore, we found that the rate of exclusive breastfeeding in the experimental group was higher than that in the control group, and there was a significant difference between these two (P<0.01) groups, thus indicating that the standardized learning of prenatal mindfulness courses can help increase women’s awareness of breastfeeding and increase the rate of exclusive breastfeeding. Additionally, it is also beneficial to the good and healthy growth of infants and young children and promotes the cognitive development of infants and young children.

In summary, the implementation of mindfulness delivery combined with doula delivery assistance for the parturient women can significantly reduce the pain of parturient delivery; effectively reduce the amount of postpartum hemorrhage of the parturient, thereby reducing the occurrence of postpartum complications, which is conducive to the postpartum recovery of the parturient; at the same time, it can also reduce the postpartum anxiety, depression and other bad psychological emotions of the parturient have improved the mental health of the parturient; it has promoted the rate of exclusive breastfeeding of the parturient. Therefore, mindfulness delivery combined with doula delivery has a very precise clinical analgesic effect and high clinical application value, and it is worthy of promotion and application in clinical delivery.