I have been there: both with epidural and without, and I can say that each was right for me at the time. Here we face the age old problem of not imposing ones own values on others. But especially in terms of the patient/doctor relationship because there is definitely a power imbalance there, how to not take advantage of that in oppressive and imposing ways. Id like to think that a doctors role is to empower her patient to take control of her own health. If you learn how to empower another person then you will have less chance of abusing the power imbalance.