The goal of this study is to evaluate the quality and safety of labor analgesia by comparing the use of Dural puncture epidural technique to Standard epidural technique while maintaining labor analgesia by means of continuous epidural infusion in parturient. The main questions it aims to answer are
* Effectiveness and quality of labor analgesia * Frequency of catheter adjustments * Need for catheter replacements * Incidence of failed regional anesthesia requiring conversion to general anesthesia
Nulliparous / Multiparous women
Age >18 years
ASA 1 & 2
Singleton vertex presentation
Major cardiac disease
History of chronic pain
Chronic opioid user
Platelet count < 70 x 109/L