I had major tearing with my 1st child too. Same as you had the spinal block to get stitched up.

Same as JCEC....
As it was a pretty traumatic experience (DS got stuck at shoulder and came out not breathing) I talked to my doctor about a c-section for this bub and he said just with the tearing alone it would be best if I did have a c-section this time around. To be honest I don't think I could go through a natural birth again so Im pretty happy to go ahead with a caesar this time.
I know it doesn't give you much info on having another natural birth but just wanted to share my story with you.

Goodluck hun.