The presence of a support person during labour has long been advocated as a beneficial practice to improve labour outcomes, particularly among first-time mothers. This study evaluates the impact of a support person on the physiological and psychological outcomes of labour among primi-parturient women in selected maternity hospitals in Bangalore. A quasi-experimental design was employed with 50 primi-parturient women divided equally into experimental and control groups. The findings revealed statistically significant improvements in pain tolerance, reduced labour anxiety, shorter duration of labour, and enhanced maternal satisfaction in the group supported by a continuous companion. This study advocates for the institutionalization of continuous support during childbirth as a part of maternity care protocols. This research aimed to explore the influence of having a supportive companion during labour on the delivery outcomes of first-time mothers in selected maternity facilities in Bangalore. Specifically, it assessed the differences in labour pain, anxiety levels, and labour progress between two groups—those with a support person and those without.