No pain meds, and was terrified because I went a month early, (and he did have problems at birth). I had it all natural and yes I screamed and screamed and screamed at the birth center I had him at. It hurt, especially the crowning. And nothing could have prepared me for actual childbirth not the classes I had gone to or anything. Second child came on time and I was much more calm and didn't scream much. By the third I didn't scream at all, I just cried very quietly. With twins, I am scared now because I have never had 2 at a time. Its a little scary. If I need a C-section, I will cry probably but I won't scream I dont think.
I didn't scream for any of mine. Including the all natural one. I waited too long to decide yes I want the epi, my son was already crowned. I did cry and moan a bit. I refused to even hold my husbands hand or any part of his body after my mom said she dislocated my dad's shoulder during one of our births.
I screamed only when I was actually pushing my DS out.. Like when I could feel his head & then shoulders..I ended up getting ripped pretty bad..I needed a lot of stitches.. I did scream but I wasn't overly dramatic. When I would have a really bad contraction I would just try to breath threw it.. I really wasn't too bad tho.