I had gas, pethidine and an epidural in that order. I wasn't sure what I wanted prior to the birth and simply told the midwives when things got a bit unbearable and they suggested things and I just went with the flow. I'm all for an epidural if you're really struggling with the pain, but each to his own....I'd like to try without it but if I need it, I'll have it. It's up to you, not anyone else to decide.