This study was conducted on 150 primigravidas with unengaged fetal head presented at term in active labor. Any solid indication for cesarean section whether in the mother or the fetus was excluded. These cases were given a full trial of labor and the progress of each was recorded on a partogram. The mode of delivery, the duration of labor (first and second stage), the weight of the new born and the Apgar score were all recorded. Also maternal morbidity and mortality were recorded. Epidural anesthesia was given to the patients on demand and the effect of it on the mode of delivery, the duration of the first and second stage and the Apgar score was reported. After collecting the results from our data sheet and analyzing them we found that most of the patients included in the study delivered vaginally (79.3%) and 20.7% only delivered by cesarean section. The primigravida with unengaged fetal head at onset of labor, although at risk for C.S. most of them would deliver vaginally if they were given a full trial of labor and watched carefully.