I didn't have an epi. I had an examination and the midwife told me I was 6-7cm. Soon after I felt the need to push and she thought I might need one as I was pushing but not fully dilated. I had another examination and was fully so got down to pushing. I ended up with a 3rd degree tear, ventouse delivery and had to go the theatre and have my tear repaired with a spinal anyway. Would I have been better off getting the epi? Who knows. Next time I'll be more open to an epi but probably refuse opiates and the gas as they made me feel really spaced out which made me panic.