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


The aim of this project was to determine whether educating Labor and Delivery (L&D) nurses on maternal positions would increase their confidence their implementation to reduce the risk of cesarean sections (c-sections, CS) and progress the first and second stages of labor. Previous studies have shown that upright positions reduce the length of both labor stages by promoting more effective uterine contractions. Although L&D nurses may be familiar with the labor positions, they may not have confidence in their utilization as the education and practice of the birthing positions is not standardized. At a Bay Area county hospital, L&D nurses were given a pre-education survey to assess their current knowledge and confidence level in implementing the labor positions. After identifying gaps in knowledge, education on evidence-based maternal positions was provided using in-person training, educational handouts, and an instructional video recording. A post-education survey revealed a significant improvement in the nurses’ knowledge and confidence level in the application of the labor positions. Despite the limited sample size, the project was successful in demonstrating the effectiveness of staff education to increase nursing knowledge and confidence in the use of maternal positioning that promote fetal descent.