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

Nicole Beamish

Second Advisor

Jennifer Zesati


This project aims to increase the confidence of nurses using birthing positions to aid with mobility to assist with fetal descent and decrease the duration of labor in the first and second stages of labor. Lack of mobility and increased duration of labor are associated with the use of cesarean sections, which is an invasive surgery with potential complications. A knowledge gap in a South Bay Area hospital exists in current evidence-based birthing positions. Recent evidence shows that flexible sacrum positions, which are any upright positions that take the weight off the sacrum, promote vaginal deliveries, and improve birthing outcomes. The proposed intervention of nurse education for standardization of birthing practices will increase the knowledge of nurses on birthing positions to reduce the rate of cesarean sections and improve maternal outcomes. A complete review of current literature was conducted as supporting evidence and pre-educational surveys were administered. Once pre-surveys were complete, live demonstrations of birthing positions with nurses were conducted. Post-educational surveys were used to analyze if there was an increase in nurse confidence for the birthing positions demonstrated. The results of the surveys indicated that nurse education was an intervention that increased confidence in birthing positions to help facilitate fetal descent and decrease the duration of labor.