Background: The primary reason for epidural analgesia is labour pain. It is the only method that effectively reduces intense labour pain. It provides a labour trial for high-risk patients who have had a previous Caesarean section, anticipates a challenging intubation, and is obese Objectives :To compare the efficacy of Bupivacaine and Fentanyl v/s Bupivacaine and Butorphanol regarding onset of analgesia, duration of analgesia, quality of analgesia and fetal out come in epidural labour analgesia.Methodology: One hundred primigravida patients between the ages of 18 and 26 with ASA grades 1 and 2 were chosen at random and split into two groups of fifty each. Patients in Group 1 received 0.1% Bupivacaine and 0.0002% Fentanyl by lumbar epidural method, while patients in Group 2 received 0.1% Bupivacaine and 1 mg Butorphanol. Throughout the surgery, the mother's and foetus' hemodynamics were monitored. The onset, duration, and quality of analgesia, the length of labour, the frequency of instrumental deliveries, the frequency of side effects, and the outcome for the newborn were all noted, compared, and statistically assessed. Results: Patients in group 1 receiving 0.1% bupivacaine with 0.0002% fentanyl experienced faster onsets of analgesia. In group 2, the first dose's analgesic effect lasted longer, top-up doses were not as frequently needed, and the group's analgesic quality was also higher. In neither group did the need for instrumentation or surgical intervention increase noticeably. Even with the addition of low dose butorphanol administered by epidural, the neonatal outcome was favourable and nearly equal in both groups without any signs of respiratory depression. Conclusion: When compared to 0.1% bupivacaine and 0.0002% fentanyl, the combination of 0.1% bupivacaine and 1mg butorphanol during epidural analgesia during labour offers great pain relief, an extended duration of action, and simultaneously reduces the need for top-ups (20mcg).