After I'd spent 3 hours pushing (most of my labour period) plus the odd sensation of a male dr stitching there (no pain but you can feel the thread moving which is freaky as anything) I really didn't care who saw or heard what - and would prefer total strangers to hear than my family because it's utterly meaningless to them.
But then I'd had a transfer from one end of the hospital (MLU) to consultant led when we had meconium in waters and I'd been in labour without pain relief for 2 hours about 90 minutes of which was in the car after being sent home and then coming straight back in (went from 2cm to 7cm i that time) so I really was just do what needs to be done (with added expletives).
I couldn't care less if a smear was done in a curtained area in the middle of a shopping mall - just get it done with a degree of understanding and skill. Again better that than with people I know.
Luckily there was no time for an epidural - just simple vb - apart from meconium we'd never have gone on the ward I think and I had a few hours to get organised and work out how to get DD back in the cot after feeding. But the night was hell - she basically woke up 12 hrs post birth and needed to feed and I couldn't stay awake to feed her so I had to have the bed side up.to lower the risk of dropping her if I slept (MW decision) and feed as much as possible. But I was convinced I was going to drop or suffocate her. And I had an easy time of it compared with most.
Having DH to help cope with our first attempt at a nappy was so useful - we still got poo everywhere though - had no idea how much a newborn can wriggle! And obviously thought she was more breakable than she is...
Plus she was vomming up meconium snot and bloody snot which was freaky too - so that night was hard. At home we'd have done shifts.
I also felt guilty every time I had to buzz the mw for anything because it wasn't a clinical need just me having zero core strength and zero baby handling experience!