can my midwife give me an epidural at home?

It is universally acknowledged that labor is uncomfortable in the very least and often very painful. If you want an epidural, go for it, but it needs to happen in-hospital, administered by an anesthesiologist or nurse-anesthetist. This is because epidurals are like any other invasive medical procedure: They have risks and side-effects that only a hospital with other life-saving interventions can mitigate.

Women who give birth at home do not magically have painless labors. They manage their pain by learning, in advance, how normal and productive the pain of labor is, by having lots of understanding and experienced support around them, and by using natural measures like massage, warm water, and movement.