Introduction: Pain during labor is one of the major determinants of women’s child birth experience. Epidural labor analgesia is the gold standard method now-a-days, with no harmful effects to the neonate but, beneficial effects has been observed. High acceptance rate of labor analgesia is observed in Developed countries, therefore, their data focuses on overall birth experience. Materials and Methods: Descriptive study was carried out on 120 expectant mothers attending the antenatal OPD of MNR Medical College and Hospital, Hyderabad over a period of 6 months. After taking informed consent 120 expectant mothers were selected by convenience sampling technique. Knowledge was assessed using structured questionnaire. Attitude was assessed using 3 point Likert scale consisted of 20 statements. Results: Majority of expectant mothers, 62 (52%) belongs to age-group of 28–31 years, 38 (32%) in age-group of 24–27 years, 10 (8%) in age-group of 20–23 years and other 10 (8%) in age-group of 32–35 years. Gravida distribution of expectant mothers, 66 (55%) had gravida one, 46 (38%) had gravida second and few 8 (7%) had gravida three. Conclusion: Most of expectant mothers had average level of knowledge but majority of had positive attitude. Most of the Indian parturient still suffer from the agony of labor pains due to lack of awareness, lack of availability or knowledge of availability of labor analgesia service. The awareness level needs to be improved.