Haaa I totally get the worry lah, especially dengan twin! Honestly, the midwife or doctor will guide you on when to push, you'll still feel pressure even with epidural (it's not complete numbness), and they monitor the monitor and your dilation, so don't worry you'll miss the signal A few of us tried epidural during labour and memang easier on the body, but memang kena communicate with the team so they tau exactly bila you're ready. For twin, it's actually smart to discuss with your doc early because they might adjust the timing, some mums rasa they have better stamina to push bila they're not in extreme pain, especially kena push twice! Just be upfront with them pasal your worries, okay? They've handled this banyak kali, so they'll work with you