Background: Virtual reality (VR) technology is making waves in obstetric nursing, particularly for primiparous women. Research shows that VR can significantly alleviate anxiety and fatigue, creating a more serene and focused birthing environment. This study aimed to examine the effect of utilizing virtual reality (VR) technology for pushing during second stage of labour on birth outcomes among primiparous women. Study Design A quasi-experimental approach with a non-equivalent control group pretest-posttest was adopted. Study Setting: Labour and delivery unit of Mansoura University Hospital, Dakahlia Governorate, Egypt. Study Subjects: A convenient sample of 90 primiparous women was recruited. Study Tools: Data was collected using three tools, structured interview schedule, state anxiety inventory-S, visual analog scale for fatigue and birth satisfaction scale-revised. Results: Postintervention, the mean anxiety score was significantly reduced in the VR group 36.5 ±11.0 as compared to 60.4 ±11.9 for the control group. Concerning the mean fatigue score, it was significantly lower in the VR group as compared to the control group (19.8 ±6.4 vs. 89.9 ± 34.4, respectively). Furthermore, the mean birth satisfaction score was significantly higher in the VR group 28.4 ± 11.8 compared to 17.8 ± 8.8 in the control group. Conclusion: VR technology has been shown to positively affect birth outcomes for primiparous. It significantly reduced anxiety and fatigue scores, and primiparous women utilizing VR reported higher birth satisfaction. Recommendations: Raise pregnant women's awareness of the VR benefits during labour by offering antenatal education classes in the third trimester