I've given birth 3 times and had an epidural with the first and went natural with the last two. Everyone has a different experience and it's really hard to prepare for giving birth to your first child, because you never know how your body is going to handle labor until you go through it. I feel much more strongly about the need to have a midwife present for labor and delivery (Dr. usually only gets there in time to "catch") than I do about whether to have an epidural.
When I was pregnant with my first, I was adament about having an epidural. I went the entire pregnancy thinking that as soon as I had that first labor pain, I would get the epi and everything would be hunky dory. Unfortunately, reality quickly came and slapped me in the face. A month before my due date (I was on bedrest for pre-eclampsia) my water broke around 7 one evening after eating a big bowl of chili (
warning - don't eat chili if you think you are going into labor soon 
) Dh and I were very anxious and went to the hospital around 9pm (
another warning- if everything seems to be OK don't be too quick to go to the hospital. Getting there won't make the baby come any faster and will just mean more time in a hospital bed.)
In the hospital, I quickly began having severe back pain that was constant instead of contractions that were spaced apart. At that point, I called the childbirth educator a liar because she had told us that we would have these nice breaks to recover in between contractions. Little did I know the baby was turned wrong (sunny side up) and was being pushed into my spine which was causing the constant pain. The L&D nurses were not very helpful, and when I asked for an epidural they told me that it was too early and I could be laboring for several days (I think they really just didn't want to have to call and wake up an anesthesiologist). They told me that the monitors weren't picking up any major contractions and that I couldn't be in "that much pain" yet. So, I was put in a room for overnight and pretty much forgotten about until the next morning (poor dh had a long night pushing/rubbing my back and trying to do anything he could to help me). Around 7am the anesthesiologist finally strolls in with my epidural and by that point I was in agony. He had me sit up and lean over while he prepped my back. I didn't see the needle, but by dh's description it was pretty large. The only problem was the Dr. kept trying to put it into my back and would hit bone (and you could hear it). He tried probably 3 or 4 times which was painful for me and dh turned pale and almost passed out. He finally got it in, but something wasn't right with it and I remained in a lot of pain. Soon afterwards, a new L&D nurse came in and realized that the baby was turned wrong and then attempted to manually turn her. She wasn't successful and ended up calling my Dr. to let him know what was going on. Finally the Dr. arrived and was successful in turning the baby (guess he had longer arms).
By that point I was fully dialated, my bp was skyrocketing and dd's hearbeat was dropping. I tried pushing for 30 minutes, but was too exhausted to get her out. The Dr. had to get her out quickly, so he used a vacuum and pulled her out (dd's cord was wrapped around her neck, but thankfully she was fine). I won't go into graphic detail, but there is a reason why you should gently push and ease the baby out of your body. I ended up with a lot of sticthes and the Dr. at first tried to sew without any anesthetic because he did not realize that the epi had not worked.
It all ended well. I had a healthy, but small baby girl who has been a complete blessing to our family from that day on

. I would go through her labor for her again if I had to. The epidural exprience completely changed the way that I looked at childbirth. It made me realize that having a midwife who will be by your side for most of the labor is important (you can't always trust the L&D nurses to be as attentive as they should, particularly in the middle of the night). My last two labors were much easier and less painful and I was much more prepared to deal with them. I would have loved to have had them at home instead of a hospital, but that wasn't an option for me.
I apologize for writing so much, but one other thing I learned from my first childbirth was to have someone present (friend or family member) to record the birth. With my first child, I would have been horrified by the suggestion and never considered it. But I had my last two children being born recorded and I really regret not having that moment when oldest dd came into the world available. It is the most magical moment of your life and there will never be another one like it. There are ways to angle the shot that is not graphic and respects your privacy, but can still record that moment.
To the OP - good luck with the remainder of your pregnancy! It will be over before you know it, so appreciate each moment even if it is a queasy one.
