In this double blinded randomized controlled trial, the investigators would like to compare the effects on needle manipulation when relatively inexperienced sonographist (\< 1 year of ultrasound experience) perform ultrasound guided labor epidurals utilizing a traditional handheld ultrasound versus a handheld device that was engineered to provide automated guidance. The primary outcome of this study would be number of needle passes.
ASA-1, ASA-2, and ASA-3
Patients with no known back deformities
Ability to sit upright for epidural placement
No prior lumbar surgery
Coagulopathy
Low platelet count
Allergies to local anesthetics