Acupressure has been used as a complementary therapy for labor pain management and to potentially facilitate labor progression. By using acupressure at specific points, the study seeks to examine whether it improves maternal and neonatal outcomes and provides a safer, less invasive alternative to pharmacological pain relief methods. The randomized controlled design allows for rigorous testing of the hypothesis and can help establish whether there is a real benefit to acupressure over a sham treatment. If the study finds positive results, it could lead to the wider adoption of acupressure as a non-pharmacological tool for managing labor pain and improving outcomes for both mothers and newborns. The study may also contribute to the broader understanding of how complementary therapies can be integrated into maternity care, particularly in settings like tertiary care hospitals where women may have access to more resources. MID-CURE refers to a midwife-centered approach to applying acupressure during labor, particularly at specific acupuncture points. LI4 (Hegu): Known to help with labor pain relief and facilitate the progression of labor. GB21 (Jianjing): Thought to aid in labor progression and provide pain relief. SP6 (Sanyinjiao): A common point used to help with uterine contractions and reduce labor pain. The intervention aims to evaluate the effects of acupressure applied at these points during the first stage of labor. Neither the participants (women in labor) nor the healthcare providers administering the acupressure know whether the participant is receiving real acupressure or a sham (placebo) treatment. Participants are randomly assigned to either the acupressure treatment group or a control group receiving a sham treatment. This helps to control for the placebo effect. This is a trial where participants are assigned to either the treatment or control group to study the outcomes. The participants are primi-parturient women (women experiencing their first childbirth) who are in the first stage of labor. This is a critical phase when labor begins and progresses with regular contractions but before the cervix fully dilates. Tertiary Care Hospitals: These are advanced medical centers where high-risk pregnancies and deliveries are managed, and they typically have specialized personnel like midwives who can provide care during labor.