Hi, I was hoping for a completely intervention free birth but because of a higher risk of bleeding, my ob is insisting that I be on an epidural in case they need to go quickly to a c-section. I've agreed to have an epidural put in at 7 cm dilation (the other option on the table is a scheduled c-section). Anyway, so these were my questions. Are there more effective ways to push with an epidural in place? Alternatives to directed "purple pushing"? Would I still be able to get into suitable positions with assistance? Anything a doula could do to help? I'm looking for ways to minimize tearing/need for an episiotomy. Any suggestions would be welcome! Thanks!