Background: Epidural anaesthesia is commonly used for pain management during labor and delivery. While it provides effective pain relief, it is essential to evaluate its impact on intrapartum, postpartum and neonatal complications. This prospective interventional study aimed to assess these outcomes and contribute to evidence-based decision-making in obstetric anaesthesia. Materials and Methods: The study was conducted at the Department of Obstetrics and Gynaecology in collaboration with the Department of Anaesthesiology at Dr. RPGMC Kangra at Tanda. Primigravida women in the early active phase of labor were included if they met specific criteria. The study had a sample size of 60 participants, divided into two groups: Group 1 (epidural group) and Group 2 (non-epidural group). Data on demographic characteristics, intrapartum complications, postpartum complications and neonatal complications were collected and analyzed using appropriate statistical methods. Results: The mean age, booking status, residence, education status and socioeconomic status were comparable between the two groups. In terms of intrapartum complications, there was no significant difference between Group 1 and Group 2. Similarly, there was no significant difference in postpartum complications between the two groups. Neonatal complications, including Apgar scores at 5 minutes and NICU admissions, showed no significant differences between the groups.

Conclusion: The study did not find a significant association between epidural anaesthesia and increased intrapartum, postpartum, or neonatal complications. These findings suggest the safety and effectiveness of epidural anaesthesia for pain management during labour and delivery.