Many women successfully manage the pain of childbirth without an epidural, even as first-time moms. While it can be intense, there are various alternative pain management options available. Some techniques include breathing exercises, relaxation techniques, massage, hydrotherapy (using water for pain relief), and using a birthing ball or other positions to find comfort during contractions. Additionally, having a supportive birth partner or considering hiring a doula can provide emotional support and guidance throughout labor. It's important to discuss your preferences with your healthcare provider and create a birth plan that aligns with your goals and desires for managing pain during labor. Remember that every woman's experience is unique, so trust in your body's ability to birth your baby and know that you have options available to help you cope with the discomfort.