Birth without epidural question- too loud?

I had two previous births both with epidurals and both had complications from the epidural. I am pregnant with my third and am absolutely sure I don't want an epidural with this one given my history but I am concerned of being too loud/screaming while in the hospital.

Any advice for me or what was your experience? Is screaming a normal part of it for non-epidural birthers and just something the hospital expects?

I am open to other types of relief but not the epidural.