For labor and delivery meds we don't have the epidurals and use Nubain 10-20mg every 1 hour IM and people say that they like the way that it works. Speaking from personal experience I liked the Nubain and didn't like the spinal that I had previously with my first child. That just made me take the brush to my face with the itching. We also use Vistaril IM if they don't really want the "drug effect." beak73