Besides the wish for safety and security for herself and the upcoming baby, a pregnant woman expects from today’s obstetricians a reduction of her birth pain to a minimum. Pharmacological analgesia is requested side by side with relaxation techniques and psychological support by the caring midwife or doctor. For the treatment of birth pain systemic opioids are widespread besides local blockade of the pudendal nerve at the end of parturition. Spinal and epidural anaesthesia are common, too. The acceptance of intrapartal analgesia is connected with hopes for low perinatal morbidity and an undiminished birth event.