The objective of the study is to compare the effect of three combined interventions for pleasant the active phase of labour in nulliparous women. In this study, for 128 pregnant women in Lolagar hospital , a pain questionnaire will be completed through interviews .by completing the consent form , they will be entered into the study. Inclusion criteria's are: age 20-35 years, 38-42 weeks gestational age, presence of cephalic presentation, has physical and mental health, Not being infertile, having a normal vaginal delivery , 4-5 cm Dilatation of cervix, less than 6 hours PROM, no history of allergy to honey, not fear of hearing the sounds of nature (sound waves, sea, water ...) exclusion criteria: mothers who do not corporate , not having the natural course of labor due to maternal complications , placental or fetal factors, over six hours PROM, induce labor with oxytocin, use honey syrup less than 150 cc, absence of the intervention process less than 30 minutes. The samples were randomly divided into four experimental and control groups (32 in each group). After the intervention (including honey syrup, use of birth ball, both methods together) pain intensity score will be assessed. then the results will be compared to previous results .