I had one drug free and one last minute epidural when it was clear that back to back presentation really wasn’t working and ventouse was needed.
Things that helped me:
Confidence in my body. I often thought about a packed football stadium and thought ‘each of these people is the result of a woman giving birth’
Managing fear of pain. I told myself that whatever happened, it would come to an end, and that the choice was always mine to ask for pain relief at any time.
TENS machine. I got my endorphins high with early Labour TENS use.
Keeping upright, staying active. Leaning forwards when standing or kneeling during contractions. Kneeling on the sofa leaning over the back, kneeling on the stairs, etc.
Pool. Did the whole mid section of Labour in a pool, on my knees, leaning forwards on the rim.
Focus and breathing. I just ‘went into myself’ and didn’t allow chatting and interference around me. Breathing in through my mouth and going ‘huuurghhh’ on the out breath as things got intense.
Expected it to be hard work, like hiking up a mountain, and visualising my body doing hard muscular productive work.
The midwives offered G&A but I didn’t want to lose my own focus and rhythm so said no, I was ok anyway.
Asked for an epidural when required to lie on my back with a back to back baby, and when they gave me the drip to increase contraction intensity.I was very much in agreement that ventouse was needed and chose epidural, so felt calm and supported.
At no time was I in anything that I would describe as acute or unbearable pain.
Good luck OP, and enjoy your baby.