yes i would say it is manageable to a degree. have had five babies all natural vaginal deliveries- first was my angel baby- still birth at 43+ weeks, labour was 8.5 hours and had everything- the pethidine made me puke, epidural didnt work, diamorphine also didnt work and gas and air which helped a bit. Second-now 7, induction,had 3x prostin gel and arm, 32 hour labour,had epidural and gas and air, almost had cs but just escaped it. 3rd now 5,also induction,2x prostin and arm, 2 hour 15 min labour, spent 1 hour 45mins in bath, had pethidine (didnt puke this time) and gas and air, 4th now 20 months, another induction, 2x prostin, waters went naturally, 4 hour 37 min labour, just had gas and air. 5th now 8 months, final induction, no prostin, arm as 4cm dilated on admission, hormone drip, 1 hour 28 min labour also just gas and air. not having any bloody more!!!!!