BackgroundrnDespite the increased focus on pain management programs and the development of newrnstandards for pain, assessment and treatment of labor pain is mostly abandoned specially in lowrnand middle income countries. In Ethiopia there are few studies done in some regional states tornassess attitude towards labor pain and utilization of labor analgesia, thus this thesis is conductedrnin one of the biggest and tertiary hospital found in the capital city of Ethiopia,A.A.rnObjectivesrnTo evaluate the knowledge and attitude of labor pain analgesia and to describe the practice ofrnlabor analgesia among obstetric health care providers at Tikur Anbessa Specialized Hospital.rnMethod: cross-sectional study was conducted from AUGUST 1 to OCTOBOR 1, 2018 at TikurrnAnbessa Specialized Hospital. Data was collected using structured questionnaire distributed tornobstetric residents , Ansthesiology residents and midwifes. The collected data was coded andrnentered into EPI info version 7and analyzed by using SPSS version 20. Descriptive analysis wasrnused.rnResult: This study found that majority (91%) of ansthesia and more than half(67%) ofrnobstetric residents have good attitude towards labor analgesia, while majority(74%) of thernmidwifes found to have poor attitude.Althogh 80% of Ans residents have good knowledgerntowards labor pain management, only 49% of midwifes & 47% of obs residents found to haverngood knowledge about labor analgesia .majority of HCPs i.e 82% of midwifes, 69% of obsrnresidents, 83% of ans residents was found to have good practice of labor analgesia.rnConclusion & recommendation: The majority of healthcare providers understand thatrnwomen suffer significant pain during labor and majority believe that labor pain relief isrnnecessary However, when we see the general knowledge of HCPs, except Ansrnresidents half of obs residents & half of the midwifes have poor knowledge about laborrnanalgesia thus emphasis should be given to train all obstetric health care providersrnregarding safe , efficient and affordable labor analgesia.