If she does decide to get an epidural, be sure that they give it 'soon enough but not too soon' (like I have any clue how to tell when that point is, LOL!). I do know that giving it as the baby is crowning, as happened with my first, is useless and led to my decision to try natural with the others. I did have a local for the snip and the stitches afterwards.
DD had said she wanted whatever drugs they would give her, but by the time she went to the hospital it was past time for them to be effective, so she ended up doing natural anyway. Thankfully DGS only weighed 6 lb 9oz.