Painless labor refers to using of different methods that can be used during labor including 
non-pharmacological and pharmacological methods to help women better cope with labor 
pain. Aim: The present study aimed to assess knowledge and attitudes of pregnant women 
regarding painless labor. Subjects and method: A descriptive research design was used. The 
study was conducted at out-patient clinics of obstetrics departments of: Tanta University 
Hospitals, El-Menshawy General Hospital, El-Mogamaa El-Teby Hospital, Doctor Mohamed 
Mashally Medical Center at Said, and Medical Center at Segar. A purposive sample of 300 
pregnant women were included in the study. Two tools were used for data collection: Tool I: 
Pregnant women's knowledge regarding painless labor individual questionnaire, consisting of 
three parts: Part (1): Socio-demographic data of the pregnant women. Part (2): Obstetric 
history of the pregnant women. Part (3): Pregnant women's knowledge regarding painless 
labor. Tool (II): Women's attitudes toward painless labor. Results: The vast majority (95.0%) 
of the studied pregnant women had low level of knowledge regarding painless labor, while 
more than two-thirds (69.0%) of them had positive attitudes towards it. A significant 
relationship and positive correlation were found between the total score of women's 
knowledge and the total score of women's attitudes regarding painless labor. Conclusion: 
There was a low level of knowledge and positive attitudes regarding painless labor among the 
pregnant women. Recommendation: Planning and developing of antenatal childbirth 
preparation classes for all pregnant women to improve their compliance regarding painless 
labor.