Participants who receive the dural puncture epidural (DPE) for labor analgesia.

Participants who will be receiving standard epidural technique (SET) for labor analgesia.

The Dural puncture epidural technique is done by assessing the epidural space using the Touhy needle and puncturing the dura matter with a finer needle.

Pain assessment by using numerical rating pain score and assessing sensory level. Numerical rating score: Pain Assessment: Numerical rating scale (NRS) 0 to 10. 0=no pain, 1-3 =mild pain, 4-7 =Moderate pain, 8-10= severe pain. Assessing sensory level: Testing will be done on specific dermatomes and will be compared bilaterally by either using one of these tests. 1. Light Touch Test: Dab a piece of cotton wool on an area of skin. 2. Temperature test: by using Ice on specific dermatomes and ask the patient if they feel cold sensation 3. Pinprick Test for pain sensation - Gently touch the skin with the pin ask the patient whether it feels sharp or blunt.

Persistence of either unilateral pain score (NRS) of >4, thirty minutes after 2 boluses of 10ml of 0.125% Bupivacaine

Patient Satisfaction using a five-point satisfaction score as follows:

Satisfied (score 1 to 3) ------------- Unsatisfied (score 4 to 5) -----------

1. perfect: the patient did not experience any pain at all,
2. very satisfied: helped relieve most of her pains,
3. satisfied: the epidural procedure relieved major pains, but she still experienced minor pains,
4. 4not satisfied: the epidural procedure helped only a bit a
5. poor: the epidural procedure did not help at all. Scores from 1 to 3 were considered as the patient being satisfied with the labour epidural analgesia, and scores from 4 to 5 were regarded as the patient being unsatisfied with the labour epidural analgesia.