Yes, I didn't have an epidural last time. My OB broke my water. I was in so much pain after he broke the bag. So, I didn't remember about the urge to push, more like a lot of pain from scale 5 to 10 right after the water was broken. I felt like I was going to pass out but kept pushing when they told me too and recalled screaming for an epidural. Fortunately, it lasted only 15 mins from the time he broke my bad till the baby was born.