I delivered in a hospital without any type of pain management. I did have the option of having an epidural, but decided against it. I stayed in the hospital for 2 days after the delivery. It was a positive experience overall, but I was somewhat disappointed with the lack of support for breastfeeding.
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I didn't choose. They are assigned through the local Social Security System.
If you think you are progressing faster than they do, speak up! Also don't be afraid to ask for anything you need.