Epidural?

Okay - so, I'm only 19 weeks 4 days, but this is one of my main fears about labor.. the epidural. I can't stand the thought of a needle longer than my finger going into my back! And I know they usually do it during a contraction so you don't feel it.. but what if I'm shaky or can't stop moving from the pain? Would they still be able to do it during the contractions?

This is my first and I'm trying to get as much information as I can... Thanks!