To explore the effect of holographic meridian scraping combined with free body positions on the stages of labor, the perineal lateral resection rate, and the delivery outcomes of the primipara.A total of 120 primiparous women in natural labor admitted to Hebei Provincial Hospital of Traditional Chinese Medicine (HPH-TCM) from January 2020 to September 2020 were recruited as the study cohort. The cohort of parturients was divided into a conventional treatment group (the conventional group) or a combined treatment group (the combined group). Both groups gave birth in free positions, and the combined treatment group also underwent holographic meridian scraping therapy. We compared the two groups of parturients in terms of their labor times, their postpartum hemorrhages within two hours, their delivery indicators (vaginal delivery rate, cesarean section rate, oxytocin application rate during labor), and their perineal injury indicators (perineal injury degree, perineal lateral resection rate, and delivery satisfaction rate). The two groups' pain and anxiety levels were evaluated, and the newborns' weights and health conditions after delivery were compared.The combined treatment group's maternal pain and anxiety scores were lower, their labor times were shorter, their postpartum blood loss in two hours was less than it was in the conventional group (P<0.05). The vaginal delivery rate, oxytocin injection rate, and cesarean section rate in the combined group were lower than they were in the conventional group during labor (P<0.05). The combined group's maternal perineal injury levels and perineal lateral resection rate were lower, and the delivery satisfaction rate and the newborns' Apgar scores were higher than they were in the conventional group (P<0.05).All labor stages of primipara can be shortened, their mental state and health conditions improved, their perineal lateral resection rate lessened, and their perineal injury degrees and pain reduced through free delivery positions combined with holographic meridian scraping treatment.