Abstract: Objective：To evaluate the effictiveness of the doula delivery analgesia apparatus combined with the whole process painless delivery in those elderly parturient women. Methods: A total of 160 cases of elderly primipara in maternal and child health hospital of shenzhen city from January 2016 to January 2017 were randomly divided into two groups. Cases in the observation group (n=80) were treated with the doula delivery analgesia apparatus combined with the whole process painless delivery, while cases in the control group (n=80) with the traditional delivery way in the conventional labour room. The duration of labor and the outcomes of mother and infant were compared. Results: The first and second stages of labor, and total labor stage, in the observation group were significantly shorter than those in the control group (P＜0.05). However, there was no significant difference in the third stage of labor between the two groups (P＞0.05). The rate of vaginal delivery in the observation group was significantly higher than that in the control group (P＜0.05). There was no significant difference in the rate of neonatal asphyxia between the two groups (P＞0.05). The observation group had better security sense, and lower rate anxiety and fear when compared with the control group (P＜0.05). The VAS score of labor pain in the observation group was significantly better than that in the control group [(3.53±1.22) vs. (8.15±1.48)，t=9.576，P=0.000]. Conclusions: The doula delivery analgesia apparatus combined with the whole process painless delivery can be recommended to use in those elderly parturient women, with the advantages of the alleviated pain, the shorten delivery time and the improved mental state. The rate of vaginal delivery in those women with this method can also be increased.

Key words: Doula delivery analgesia, Accompany painless childbirth, Delivery, obstetric, Analgesia, obstetrical, Labor, obstetric, Pregnancy outcome, Asphyxia neonatorum