I am very into the homebirth and natural delivery mentality. I have had 4 hospital and 3 homebirths, some planned, others were change of plans. Anyway, by no means makes me any authority, but I did want to add my "credentials" to responding to this post. I really believe that women are made to birth, without intervention whether in the hospital or at home. You can have a homelike birth at the hospital, and vice versa. The safest and best thing to have while pregnant to make an easier and safer birth either way you choose is "Pregnancy Tea" from the health food store. That has red raspberry leaf tea and alfalfa. 1 cup per day per trimester. If you don't like the tea, they have capsules. I would add Vitamin C if you have a history of PROM, or water breakage early in labor.That helps ease the discomfort to have an intact BOW. Alfalfa helps if you have any history of bleeding too much. RRL makes your ctx more effective. I would REALLY avoid any of the cohoshes, which that 5W has in it. They can make you bleed too much or make the placenta detach too soon, too soon being at the time of or before the baby. But, I do know of women who swear by the 5W. If you are having a hospital birth, it may be okay, because you have all the technology there, but with a homebirth, I would stick with the safe stuff. I would also say from experience, that if you are planning on a homebirth, I would make sure you take the RRL or pregnancy tea. With a second, your chances of hemmorrage are pretty slim, but you want an easier birth. Having a place that you are comfortable usually aids an shorter labor and easier birth, so be sure of where you want to birth and with whom. Extra people there can also slow things down. Make sure to be in an upright position most of the labor and especially the delivery. Be in the most comfortable position for YOU at the time YOU are delivering. Every birth is different, so position may be different too. When my baby lied near my back, I wanted to be more forward, and one was more near the front, so I wanted to be somewhat reclined. KWIM? If it would be easier without your DH even, that may be something you can explore. Some women prefer a doula or another woman to be there to help, and some husbands don't know how to help their wives no matter how much you try to tell them :) My Dh is a WONDERFUL father, but would forgo the birth part every time if I let him. LOL He is good at cleaning things up before and after, and would rather do that. If he is more comfortable, so you will be too. I personally wouldn't try an epidural, I have a problem with needles, but I don't usually have long labors, but you already know that is an option, except it can make it longer and lead to other interventions. They say Tylenol PM can help a puttering labor, to get a few Zs, but that would be early in the game. that is all I can think of. Also, if it is prodromal labor, and you aren't sure it is the real thing, they say a wine cooler or a small glass of wine with a bath can help and determine that, or give you a break until it really kicks in. I know many may get upset at that idea, but MANY drs agree, young and old (especially the older ones LOL). HTH