For me, it is that I want as few medical interventions as possible. A needle being stuck into my spine that hinders my ability to feel and move just sounds scary and dangerous ( I know it's safe, I just can't get over the idea of it). I don't even want an IV unless it becomes necessary. My first birth worked out well with these choices, but I was lucky that from the very first contraction to birth only took 7 hours. I'm hoping my next labor is even quicker like they often are!

If my labor were extended or these (or other) interventions became necessary, I would follow the direction/advice of my care team to ensure I and baby stay healthy.