Conventional supine delivery position versus free-position delivery guidance intervention on delivery outcomes, pain, and maternal–neonatal outcomes in primiparous women

Suyu Zhang, Zhijing He, Zhizhong Wang

Abstract

This randomized comparative study investigated the effects of free-position delivery guidance combined with prenatal intervention on pain levels, delivery outcomes, and maternal–neonatal outcomes in primiparous women. A total of 80 primiparous women admitted to the hospital between April 2023 and October 2025 were included in the study. Participants were randomly divided into two groups of 40 each using a random number table. The control group received conventional supine delivery with basic guidance, while the study group received free position delivery guidance combined with prenatal intervention. Labor duration, pain scores, delivery outcomes, and the incidence of adverse maternal–neonatal outcomes were compared between the two groups. The study group showed significantly shorter labor duration and total labor time compared to the control group (P<0.05). The study group also demonstrated significantly lower pain scores (P<0.05). The study group exhibited a significantly higher rate of natural delivery and a significantly lower rate of cesarean section compared to the control group (P<0.05). The incidence of adverse maternal-infant outcomes in the study group was significantly lower than that in the control group (P<0.05). The combination of free-position delivery guidance and prenatal intervention can effectively improve delivery outcomes, alleviate labor pain, and reduce adverse maternal–neonatal outcomes in primiparous women.

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References

Kean T. Web-based psychoeducation for first-time mothers more effective than home-based psychoeducation or routine care. Evid Based Nurs. 2004;12(Suppl 24):209-217.

Zlotnick C, Manor-Lavon I, Leahy-Warren P. Relationship between social support and postpartum depression in migrant and non-migrant first-time mothers. J Clin Nurs. 2023;32(7-8):1316-1326.

Londono Tobon A, Condon E, Sadler LS. School-age effects of Minding the Baby: an attachment-based home-visiting intervention on parenting and child behaviors. J Child Fam Stud. 2022;34(1):55-67.

Gu L, Chen Y. The influence of psychosocial nursing interventions based on family support on self-efficacy, negative emotions, and mode of delivery among primiparous women. Panminerva Med. 2024;66(2):209-211.

Benzies KM, Gasperowicz M, Afzal A. Welcome to parenthood is associated with reduction of postnatal depressive symptoms during the transition from pregnancy to 6 months postpartum in a community sample: a longitudinal evaluation. Arch Women’s Ment Health. 2021;24(3):493-501.

Calhoun R, Thompson SF, Treadway A. Assessing the feasibility and acceptability of pre- and postnatal mindfulness-based programs with mothers experiencing low income. J Child Fam Stud. 2023;32(10):3076-3089.

Nagpal J, Rawat S. A community evaluation of post-partum quality of life using a locally adapted mother-generated index: the Delhi Delivery Care survey (2009-2011). Women Health. 2024;64(6-10):471-485.

Ryan RA, Hepworth AD, Lyndon A. Use of galactagogues to increase milk production among breastfeeding mothers in the United States: a descriptive study. J Acad Nutr Diet. 2023;123(9):1329-1339.

Jarmoc G, Bar-Yam N, Hagadorn JI. Demographics and geographic distribution of mothers donating to a nonprofit milk bank. Breastfeed Med. 2021;16(1):54-58.

Turner SE, Brockway M, Azad MB. Breastfeeding in the pandemic: a qualitative analysis of breastfeeding experiences among mothers from Canada and the United Kingdom. Women Birth. 2023;36(4):e388-e396.

Ryan RA, Bihuniak JD, Lyndon A. Information seeking behavior and strategies to increase milk supply among breastfeeding mothers in the United States. Breastfeed Med. 2024;19(5):378-386.

Jeon N, Kent-Marvick J, Sanders JN. Comparing maternal factors associated with postpartum depression between primiparous adolescents and adults: a large retrospective cohort study. Birth. 2024;51(1):218-228.

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