Evidence suggests that for primiparous females delivered with epidural anesthesia maternal comfort is accomplished at the expense of a longer second stage, higher frequencies of operative delivery as well as reduced muscular tone of pelvic floor needed for normal internal rotation of the fetal head, and the reflex maternal urge to bear down. This study was conducted to determine the effect of antenatal exercises on bearing down in primiparous under epidural anesthesia. A prospective, randomized, single-blind, controlled trial was performed. Overall, 70 primiparous expected vaginal delivery under epidural anesthesia with a single healthy fetus at their 14-15 weeks' of gestation were included, aged 18-35 years with a body mass index not exceeding 25 kg/m². The participants were randomly assigned into 2 groups: group (A), receiving antenatal exercise program and advice relevant to each trimester of pregnancy, while group (B) continued their ordinary life style after receiving the advice as group (A). The unpaired t-test revealed significant differences between both groups (A &B) in duration of second stage of labor (p < 0.05) with a significant decrease in duration of latent and active phases of 2nd stage of labor in group (A) participants. Also, neonates of group (A) showed statistically higher values of Apgar score at the 1st and 5th minute of life (p < 0.05) compared to neonates of group (B). It can be concluded that antenatal exercises are very effective in decreasing labor complications for mothers and fetuses as well as facilitating bearing down during 2nd stage of labor in primiparous under epidural anesthesia. [ABSTRACT FROM AUTHOR]