I birthed in a hospital birth suite but I didn't have a single VE because it wasn't the practice of my private midwife to do them unless they are asked by the woman to. I used the shower and had a water birth in the bath. I didn't have any pain relief. I knew when I was in transition because I started thinking about having an epidural/going home. I was in a kneeling position (shower and bath) the whole time and kept my knees wide apart so that the baby could slide down with gravity. I got monitored with a Doppler on the tummy twice.
OP, I'm not sure if we are on topic with your original post but I just want to tell you that you can do whatever you set your mind to do and have exactly the labour you want as long as you and baby are safe. Pain relief intervention tends to lead to further intervention which tends to lead to failure to progess which tends to lead to assisted birth. Read up on natural labour and birth management and message me or any of the other ladies who have found a way to do it the old-fashioned way and I know we will do our best to help you through the mental prep.