I was induced with my first as well and had back labour on top of the induced contractions (I was getting 4-5 contractions every 10 minutes with 30-40 seconds down time in between them). That part was rough no doubt about it, but by staying as active as I could manage and counterpressure and hot water and deep focused breathing and maybe most importantly having a supportive midwife who was with me every step of the way telling me I was doing great and reminding me to change positions I did it without an epidural or any other drugs.
I knew the risks of an epidural and as I was already at increased risk of needing a cesarean due to the induction I didn't want to increase my chances further by getting an epidural too. I did briefly consider asking for one when the contractions were on top of eachother with no break but I told myself if I was 6cm I would manage without and asked for an internal and I was 6cm so I put it out of my mind. I did ask the mw if she could turn the syntocinon down though and she did, which lessened the intensity enough for me to get my focus back.
I can 100% guarantee though that if I had had a less supportive midwife who ignored my requests that I be reminded to change positions and move around instead of offering drugs I would have ended up with an epidural.
My next labour that was spontaneous was 100% different in terms of the intensity - though I still had a brief moment of feeling like asking for all the drugs when transition hit me unexpectedly (45 minutes before I had been 3 maybe 4cm and the intensity of my contractions up to transition hitting was so mild I was certain I had hours to go).
For anyone interested, I bought a birth planning workbook from bellabirth.com.au Its geared towards Australian women, but most of the information is still universal and it can be purchased in PDF form for international customers.
Anyway it goes really in depth about how to write a birth "map" rather than a typical birth plan most people think of. It teaches you how to research your options and then map out your birth, including possible detours.
So while you may intend to have a natural drug free birth, you would still prepare for deviations that might take you away from that ultimate plan - state pain relief options you would be open to in order of preference (there are a lot of options in between nothing and epidural), if an assisted delivery was necessary would you prefer ventouse or forceps or go straight to cesarean. When it comes to needing a cesarean there are usually *some* requests you can make as well even in an emergency situation (obviously not under general anaesthetic) - even as simply as requesting there be no "personal conversation" in the OR or that conversation be directed at you, and to have someone describe to you what is happening so you are kept "in the loop" (if you're not squeamish). And then of course there's all the post-birth baby care options most people barely give a passing thought to, but for myself I consider far more important than anything that happens at the actual birth - stuff like do you want the cord clamped immediately or when it stops pulsing, do you want immediate skin to skin and have all newborn checks delayed or done on your chest? Everything is an option that you can consent to or not, but generally hospital policy dictates what is done in all circumstances if you don't speak up ahead of time, and those policies vary widely from hospital to hospital (my local hospital does delayed cord clamping and immediate skin to skin by routine, even in c-sections where possible, but most don't)
I think it's a really useful tool especially for first time moms. Its easy to be overwhelmed and want to just "go with the flow" because birth is unpredictable, but that doesn't mean you can't be pre-armed with knowledge of options etc so in the moment you can be aware that you do have options and can almost always make choices that may or not be different from standard practice. It can be the difference between two women both hoping for natural births and ending up with emergency cesareans, but one was an active participant and knowledgable that every choice she made impacted the end result and feeling comfortable with the choices she made even though she ended up with a cesarean, and the other having been a passive patient with no idea how she ended up where she did and maybe even feeling traumatised from the ordeal