Objective To study the current situation of labor analgesia in Chinese medical institutions, and to provide reference for midwives training and relevant policy making in the future. Methods A cross-sectional survey was conducted to look into the current situation of labor analgesia in medical institutions in 22 provinces/municipalities/autonomous regions. Results A total of 1 256 medical institutions in China were surveyed, of which 976 (77.7%) had the technique of pharmacologic labor analgesia and 1 243 (99.0%) had the technique of non-pharmacological labor analgesia. Non-pharmacologic analgesic measures mainly included psychological support (1 092, 82.8%), free posture (907, 73.0%) and Lamaze breathing (887, 71.4%). The proportion of tertiary hospitals which had the technique of pharmacologic of labor analgesia was significantly higher than that of secondary hospitals, likewise non-pharmacological labor analgesia（P<0.017 for all）. The proportions of maternal hospitals and specialized hospitals which had the technique of pharmacologic of labor analgesia were significantly higher respectively than that of comprehensive hospitals（P<0.017 for both）. The advocators for epidural anesthesia in the medical institutions were obstetricians(653 institutions，68.2%), birthing women（579 60.4%）,anesthesiologists（518，54.1%）, family members, and midwives（190，55.2%）. The main reasons for not implementing non-pharmacological analgesic measures in Chinese medical institutions majorly included under staffing (239 institutions，69.5%) and midwives untrained for the measures (190，55.2%). Conclusion The role of non-pharmacological labor analgesia in medical institutions in China has not been paid much attention to. The lack of human resources and the lack of relevant training of midwives hinder the rollout of non-pharmacological analgesia. Measures should be taken to push forwards non-pharmacological analgesia in China.