Background: Virtual reality is a new and modern technology; Virtual Reality is significantly safe and beneficial in reducing pain and anxiety. Aim of study: Was to explore the usability of virtual reality for alleviating pain and anxiety for primiparity women during first stage of labor and it's reflection on labor outcomes. Design: Interventional study (A quasi – experimental study) was utilized to fulfill the aim of this study. Setting: This study was conducted at Labor Unit (Obstetrics &Gynecology) department at Benha University, Quesna Central Hospital and Benha Teaching Hospital. Sample: A purposive sample and fulfill the inclusion criteria of a total 220 primipara were equally divided into two groups (control group compromising 110 primipara and study group compromising 110 primipara). Tools: There are four main tools; I- Interviewing questionnaire sheet (Sociodemographic data and obstetrics history), II- observational checklist (partograph), III- scales for assessment of pain and anxiety (Visual Analog Scale & Anxiety Rating Scale) IV- Apgar score. Results: There was a highly statistical significant difference related to labor pain and anxiety during the first stage of labor, duration of the different stages of labor and Apgar score during the 1^st and 5^th minute of delivery between both studied groups (p < 0.001**). Conclusion: Virtual Reality had a positive effect on pain and anxiety of the first stage and positive maternal and neonatal outcomes. Recommendations: Virtual Reality is recommended as an alternative non-pharmacological therapy, which can be applied in maternity hospitals.