I had the classical cascade of intervention with my first baby - long 32 hour labour, was exhausted and anxious, had to be moved from midwife led unit to consultant unit at nearby hospital by ambulance which was really stressful as they thought baby was breach, then broke my waters, syntocinon drip, couldn't cope with pain, epidural, episiotomy, ventouse, PPH - very traumatised afterwards, but...
2 years later DS was born, and the labour on paper was pretty similar, what was different was (a) my approach and (b) my birth plan. I absolutely refused to have syntocinon to 'speed things up' as I remembered how I couldn't cope with the pain once things were artificially speeded up. My community mw briefed me on this beforehand, explaining that if it were an emergency I'd have to have a section anyway, so the only reason for wanting to 'speed things up' would be if I was tired and wanted to, iykwim. I had a week of on/off contractions, then finally went into hospital on the Wednesday night and was admitted to the antenatal ward. Spent the night and all of the next day with contractions 10 minutes apart and increasingly painful. Was quite emotional and feeling like I was making no progress, then they examined me at tea time and said I was 5cm. I was moved to the labour ward where they started to monitor me (lying down) and things started to slow down. Then shift change, new mw arrives, reads my birth plan and gets me off the monitor, off the bed, and within a couple of hours ds was born. She encouraged me to try the TENS machine again as it said so in my birthplan (although I'd ripped it off hours ago convinced it wasn't doing anything and was only irritating me). DS was back to back, so the TENS machine really helped in the latter stages. She also encouraged me to have a bath, which I did 5 minutes before ds was born - really relaxed me, and am sure I dilated those final cm's pretty quickly because of the effect of the warm water. I did find the pain really, really hard to deal with, but totally different to first time around. I had gas and air, and ds was 9lb 13oz, and when he was born I couldn't really believe I'd done it because the first birth had seemed so difficult! Totally understand that birthplan's should be flexible etc, and that if its your first you don't really know how you'll cope with the pain, but if you're worried about certain things, say in your birthplan you'd prefer to avoid them, and if you want to try certain things say you'd like to be encouraged to try them, that way the mw's get a feel for where you're at and can work with you. I had pethidine first time around, and stated I wouldn't have it second. I did say that if the pain got too much I'd have an epidural, because first time around I knew that I just couldn't cope, and was very worried about reaching that point again. Now I see that although whichever way you look at it its going to hurt, fear plays a huge part in how you deal with the pain, and if you feel in control and that you're being listened to, the pain is more manageable and you can be encouraged rather than given negative messages about e.g. not making much progress, 'only' being xcm dilated, not pushing 'well enough' and thant kind of thing. Good luck - hope you have a nice clear birth plan, and you get plenty of support when the time comes. Try not to worry too much, but I know that is easier said than done!