Epidural analgesia is one of the most effective pharmacological ways to relieve labor pain. The intensity of pain experienced and the effectiveness of pain relief can affect a woman's satisfaction with childbirth and can have immediate and long-term emotional and psychological effects, which, especially in primiparous mothers, can significantly affect the desire for the next pregnancy and the way of childbirth in the future. Based on medical data, the aim of the study was to analyze the outcomes of childbirth in primiparous women who used epidural analgesia, to determine whether the use of epidural analgesia during labor in primiparous women is associated with an Apgar index <7 in the 1st and 5th minutes, to determine whether the use of epidural analgesia during labor in primiparous women associated with the frequency of assisted vaginal birth, and to determine whether the use of epidural analgesia during labor of primiparous women is associated with the frequency of caesarean section. The research was conducted retrospectively for the period from April 1, 2022 to April 30, 2023 at the Clinic for Gynecology and Obstetrics of the Clinical Hospital Center (KBC) Rijeka, among primiparous mothers who used epidural analgesia as a method of relieving labor pain (N=100). The control group consisted of primiparous women who did not use epidural analgesia (N=100). Among primiparous women, epidural analgesia was most often used in the age group of 26-33 years (48%). The use of epidural analgesia during labor in primiparous women is statistically significantly associated with Apgar index <7 in the 1st minute (P=0.007), but not in the 5th minute (P=0.123). Also, the effect of epidural analgesia on the frequency of assisted vaginal delivery is not statistically significant (P=0.500), however, the effect of epidural analgesia on the frequency of caesarean section is statistically significant (χ2=20.16; P<0.001). Based on the conducted research, we can conclude that the use of epidural analgesia during the delivery of primiparous women is statistically significantly associated with an Apgar index <7 in the 1st minute, but not with an Apgar index <7 in the 5th minute, that there is statistically significant association between epidural analgesia the frequency of caesarean section but not the frequency of assisted vaginal delivery.