The physiological transformations Transfer accompanying pregnancy, compounded by the implications of obesity, pose intricate challenges for anaesthesiologists attending to obese parturients.Obesity makes it harder to successfully provide epidural analgesia to a parturient.This narrative review explains the most recent data on the safety and complications of providing labour epidural analgesia in obese expectant mothers.We have emphasised the evidence-based approaches that are the most effective for obese pregnant mothers receiving Knives labour epidural analgesia.