Safe and painless labor is a dream for the future rather thana reality today .There are numerous methods for control of paindurig labor as pharmacological , non pharmacological andregional methods .Psychological methods of pain relief are theoldest attempts to reduce labor pain Which includes forexample ,acupuncture and audioanalgesia .Pharmacologicalmethods of pain relief include systemic drugs administration andinhalation analgesia .The systemic drugs adminstrated duringlabor are used to relief pain during 1st & 2nd stages of labor.Regional blocks provide pain relief while allowing the parturientto be awake and able to participate in labor .The most commonforms include local perineal infiltration ,caudal ,spinal andepidural block.