**1. Introduction**

"In pain you will bring forth children" (Gen. 3-16). Thenceforth, labor pain was considered as a punishment given by God due to Eve's sin and then asking for relief was presumably against God; for this belief in 1591, Eufane Ayane of Edinburgh was buried alive into a pit because she asked for pain relief during her difficult labor [1, 2]. Labor pain is one of the major issues women faces during childbirth; thus then, most women want to relief it. Spontaneous vaginal delivery is one of the most distressing pains that majority of women would experience during their lifetime [3–5]. A study done in United Kingdom depicted that 93.5% of the women described the pain as severe, while in Finland, 80% described intolerable [6]. Besides this, laboring mothers experienced 10.9% severe acute postpartum pain in 36 hours, 9.8% persistent pain, and 11.2% depression at 8 weeks [7]. Although strong and persistent pain during labor might not be considered as a source of complication for a healthy patient, it stimulates the sympathetic nervous system, which causes an increase in

the heart rate, blood pressure, sweat production, endocrine hyperfunction, delays the patient's prognosis, and traumatic childbirth experiences. However, many of these sequelae of pain are mitigated by appropriate pain relief methods [5, 8–11]. Management of labor pain has remained a clinical issue and is as old as human kind. Labor pain perception varies in onset, timing, duration, and severity. Effective management of labor pain results in greater maternal satisfaction with the birth process [12, 13]. The study result from systematic review showed that factors that increased maternal satisfactions during labor are companionship with the caregivers, involvement in decision-making, and assuming health facility as their home [14]. Moreover, this will help women to conserve their energy to cope with the pain in a less destructive way. Non-pharmacological measures of pain relief are exploited because they are safer and tend to cause fewer interventions [15]. The aim of this chapter is to explore laboring mothers' attitude toward various non-pharmacological methods and perceived barriers to use these methods. The chapter also identified the commonly used non-pharmacological methods during childbirth.
