Well I would try to do everything you can for a natural birth as it is one of the best experiences of your life.... and you will heal much quicker.

I would ask your doctor about your heammoriods... I didnt have any UNTIL I gave birth and I have had them ever since ( 16 months) now. It will probably make them worse... I got them somehow....hmmmm but I did do the push push push method that the other lady mentioned because my son had to come out in the next push.....

I have to say Ill still give birth naturally next time though.... Who really cares? Everyone will be more concerned with the baby than what you expect them to look at..... trust me