Date of Graduation

Spring 5-18-2023

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Dr. Nicole Beamish


The goal of this project was to increase confidence of labor and delivery nurses in utilizing evidence-supported birth positions during the first and second stages of labor in order to aid in fetal descent and labor progression. Current statistics demonstrate climbing trends in cesarean deliveries, which have been associated with increased maternal morbidity and mortality. One nurse intervention that can reduce failure to progress, a main contributor to cesarean sections, is the use of various evidence-supported maternal birth positions such as ambulation, assisted squat, sitting, backwards sitting, lunging, throne, side-lying with peanut ball, hands-and-knees, and throne position. This evidence-based practice quality improvement project was implemented at a San Francisco Bay Area hospital over a 14-week period and consisted of microsystem assessment, developing education materials, nurse training, and conducting surveys to evaluate the intervention. Results showed an overall 44.8% improvement in nurse confidence in utilizing the listed birth positions. This project demonstrates the need for continued education and training in order to standardize nurse knowledge in clinical practices that improve maternal outcomes during the labor and delivery process.