Safe and painless labor is a dream for the future rather than a reality today. There are numerous methods for pain relief during labor as non pharmacological, pharmacological and regional methods. Psychological methods of pain relief are the oldest attempts to reduce labor pain which includes for example, acupunctrure and audioanalgesia. Pharmacological methods of pain relief include systemic drugs administration and inhalation analgesia. Regional blocks provide pain relief while allowing the parturient to be awake and able to participate in labor. The most common forms include local perineal infiltration, cauldal, spinal and epidural block.