I had gas and I bit on the mouthpiece a lot towards the end, I didn't care about the gas, something to bite on was great. Heat packs, shower, and vocalising...not that I planned that , just that I remember moaning etc & the midwife saying things like, 'that's great, go with it, you're labouring very intuitively' etc (really? clever me! I had no idea!) FWIW I agree with Alibaby re the supportive partner/ midwives etc BIG help it made me feel like 'I can do this'.