In ten births, neither of my daughters ever got an epidural - there was always some good reason why it couldn't be done.
My sister was slapped by a Sister for groaning too loudly and told off for having red nail varnish on - well, it was 1955!
I also had to be quiet for my second birth, which was at home, with an 18-month old in the next bedroom. Fortunately, it was an 'easy' birth, only three hours from waking with contractions to delivery, but I can still remember sitting on the lavatory thinking that such pain could not be normal! My husband had to look after the toddler and burn the placenta on the coal fire. I didn't want him in the room at the birth.
I had the same midwife right the way through my pregnancy - she was a 'Miss', very calm and knowledgeable. She had me lying on my side for the delivery and drew the baby out backwards between my legs. My first birth, in hospital, had been lying on my back, which is about the worst position you can imagine. I was not allowed to get off the bed although I knew that it would help me to walk around, as I could do with a home birth.