I had an epidural but it kept cutting out and stopping and then it was turned off an hour or so before I had to push.
I knew when I had to push as I felt like I had to do a poo. I told the nurse and she talked me through pushing ten left me to take control. Because she let me take control It didn't hurt as much because I felt like I was running the show. I felt all the stretching and discomfort but was far too focused on pushing to care about the pain.