Have you ever thought of waterbirth?
I'm learning all sorts of incredible things. Water has quite the calming effect; it adds the feeling of weightlessness and it generally allows your perineum to stretch a little better. Read more about waterbirth here:
http://www.waterbirth.org/mc/page.do;jsessionid=FFDA4740F8C79DE4D0288D0CD7B52E29.mc1?sitePageId=38425
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