ABSTRACT Background Labour pain ranks consistently among the most severe types of pain that a woman will experience during her lifetime and leads harmful effects on both mother and baby. As a complementary method, auricular acupressure has been used in the pain management for many diseases and many RCTs showed it has a pain-reliving effect in labour. However, no meta-analysis has been conducted to provide systematic evidence for pain relief in labour. Objectives To perform a systematic review to assess the efficacy of auricular acupressure for labor pain. Search Strategy PubMed, Cochrane Library, Embase, Web of Science databases, SinoMed, CNKI, WanFang Data and VIP were searched for studies using keywords “auricular acupressure” combined with “labor” and “RCTs.” Selection Criteria: Eligible criteria included RCTs, full-text studies, English, and Chinese literature, whereas exclusion criteria included incomplete information, duplicated publications, and studies combined with other analgesic methods. Data Extraction and Analysis: The selection of eligible items and assessment of methodological quality were performed independently by two researchers. A meta-analysis was performed to analyze the treatment effects on pain intensity reduction, maternal satisfaction and safety. Main Results: 17 RCTs were included in this review involving a total of 2574 parturients. Auricular acupressure showed significant efficacy in the reduction of pain intensity and improvement of maternal satisfaction. Conclusions: Auricular acupressure showed a pain-relieving effect compared with the routine care. Although the evidence is limited and high quality studies are needed.