I've always wanted to ask questions about this, as I've always wanted to go through labor without an epidural. I guess we'll just have to see how it goes...
I was there when my mom had my little brother, as we are like 14 years apart. The only thing that scared me that day was the epi. First of all, the anesthesiologist wouldn't give her the epidural because he had some insurance question. I have no idea what it was about, something like there were forms that they hadn't yet filled out. So he goes in and tries to hand my mom this clip board of forms when she's been in labor for a whiiiiille. My dad came up to the room finally and when he found out what was going on he through a fit. My dad is the coolest person ever, but I think he was about to drop-kick that little Asian guy. Finally when my dad threatened his life he decided it would be "okay I guess" to go ahead and administer the medicine while my dad was filling out the paper work. It was ridiculous.
Something went wrong with her epidural though. They did it, but the anesthesiologist messed up somehow, and without even warning her he ripped something out of her back (it was like a tube or something... maybe it was a needle... it's been a long time and I was scared to death so who knows how good my memory is about this). She had hers in between contractions too, and the longer she had to sit there I just stood and prayed that she wasn't going to cry

So then they had to do it again. I remember just staring at them all wide-eyed and hearing an awful grinding sound. I have no idea what it was, but it scared me to death. Then the anesthesiologist yelled for me to get out of the room while they were finishing the procedure, and I just left.
So needless to say, I'm scared to death. I also have this problem with needles. Anytime I've ever gotten a shot or had blood tests or anything, like my arm feels all weak and helpless afterwards and I don't want to use it at all. I'm afraid I won't want to sit back after having that thing in my back. *shudders* So like... what are the alternatives to an epidural in the US?
Sorry for the long post.