# Effects of Nursing Interventions During Delivery on Pain Relief and Labor Progression in Vaginal Deliveries

## TL;DR

This study shows that enhanced nursing care during vaginal delivery reduces pain, shortens labor, and improves outcomes for mothers without harming newborns.

## Contribution

The study provides empirical evidence that enhanced nursing interventions during delivery improve maternal outcomes.

## Key findings

- Enhanced nursing care reduced pain scores and shortened labor stages compared to routine care.
- Intervention group had lower anxiety, less oxytocin use, and less postpartum bleeding.
- Newborn Apgar scores were unaffected by the type of nursing intervention.

## Abstract

Background

The beneficial influence of nursing interventions upon the mother during natural childbirth is profound, though it has, as yet, not been tangibly identified. This is particularly important and of clinical relevance in the regulation of pain levels experienced by the mother in such an important life event.

Aims

This study aims to evaluate the effects of nursing intervention during delivery on pain relief and labor progression in vaginal delivery women.

Methods

A total of 86 vaginal delivery women from July 2023 to August 2024 were included and divided into two groups through a table of random numbers: Intervention group (n=43, receiving enhanced nursing intervention during delivery) and a Control group (n=43, receiving routine nursing intervention). The pain during delivery, duration of labor, childbirth attitudes questionnaire (CAQ), self-rating anxiety scale (SAS), and delivery outcomes were evaluated between the groups.

Results

Compared with the Control group, the visual analog scale (VAS) scores of the Intervention group at different time points (latent phase, acceleration phase, and deceleration phase) were lower, and the average time spent on the first, second, and third stages of labor was shorter. The scores of CAQ, SAS, and the usage rate of oxytocin were lower. In addition, there was less bleeding after two hours postpartum in the Intervention group (P<0.05). There was no difference in Apgar scores at five minutes of birth for newborns between the two groups (P>0.05).

Conclusion

Strengthening nursing interventions during vaginal delivery for vaginal delivery women can alleviate delivery pain, promote labor progression, alleviate childbirth fear and anxiety, and improve delivery outcomes.