Background: Programmed labour targets at curtailing the duration of labour, pain during labour and frequency of cesarean section and ameliorate the maternal and neonatal outcome. Till now, the approach to pain during labour has been passively managed, but with the help of programmed labour protocol, obstetricians try to alleviate the misery and the complications of obstructed labour, sepsis, prolonged labour along with dehydration, acidosis, exhaustion and post-partum haemorrhage have been reduced. Objectives: This study focuses on, to conduct the active management of all stages of labour and analgesia or pain relief during labour. The present study is a prospective case-control study, conducted in our hospital in 2 years. Methods: The sample size includes 1000 women and of them, the women who are low-risk primigravida in the active phase of labour and keen to participate are included in the study group and those who are not ready to participate are included in the control group. Result: The study group is subjected to the programmed labour protocol, in form of Active management of the first stage of labour, analgesics, smooth muscle relaxants, sedatives with photographic monitoring of labour. Conclusion: All the patients who are included in both, the study group and the control group are evaluated based on the duration of labour, pain relief, mode of delivery, APGAR score at birth, maternal and foetal outcome.