What do my friends understand by painless labor? Painless labor and delivery is actually pain relief, not completely painless. Ideally, labor analgesia should have a small impact on the mother and baby, work quickly, not affect the uterine contractions and maternal movement, and the mother can participate in the whole labor process, and at the same time, if necessary, to meet the needs of surgery. Understanding the premise of painless labor is that we first need to know the mother’s labor process, generally divided into three stages of labor, the first stage of labor is from the beginning of regular contractions to the opening of the mouth of the uterus, subdivided into latent (8h) and active (4h), the second stage of labor is from the opening of the mouth of the uterus to the delivery of the fetus (1h), and the third stage of labor is from the delivery of the fetus to the delivery of the placenta (30min). When the mother-to-be’s uterine opening reaches 2 or 3 centimeters, she can apply for painless delivery. The operation is performed by an anesthesiologist, who will first evaluate whether it is possible to have painless delivery based on the mother-to-be’s medical history and relevant laboratory tests, and then dispense medication, PCEA pumps, and sign an informed consent for anesthesia. The anesthesia is usually lumbar-hard joint anesthesia, which has a fast onset of analgesia and a precise effect. It is worthwhile for mothers-to-be to pay attention to: anesthesiologists in the operation, if the contraction pain is strong, but also to restrain themselves not to move, otherwise it is easy to damage the blood vessels and nerves, resulting in serious complications, such as paraplegia; secondly, be sure to cooperate with anesthesiologists to set up the position, the position is very important, set up the position is not good, the anesthesia is very difficult to carry out; thirdly, after the implementation of the painless delivery, the activities of mothers-to-be to turn over to get up and so on, pay attention to the movements of the gentle, if left in the epidural lumbar. If the epidural catheter left in the lumbar area is dislodged, the labor analgesia will be ineffective. Throughout the delivery process, there are doctors and nurses accompanying the whole process, fetal heart rate monitoring, the mother’s vital signs we have to carefully and closely observe, to ensure the safety of mothers and babies.