I have had 5 great births, one with an episiotomy and forceps, all with no pain relief at all. There are so many ways to cope with the pain if you prepare yourself. But remember, needing something isn't failing!! I SCREAMED for an epidural with my 3rd (posterior, and turned sideways while pushing!) but it was too late!! I kept telling myself through each really bad contraction that it will stop in a minute, and it did help. If you go in ready to cope with each contraction as it comes , rather than the "whole" labour, you will.

Good luck, and if you need something, then you do!!