With Xander, i had too much trouble pushing him out - i pushed for 2 hours and he wasnt going anywhere, and was becoming quite distressed. I was so exhausted i was pretty much unconscious between contractions, and only concentrated on my breathing as much as possible. I ended up aving an episiotomy, which had 4 stitches. I required about 10, very very large cut and i also tore. I had no pain relief (that aint happening again) i was also told that massaging the perinium helps during labour and am trying this technique with this one. Mind you, Xander was 9lb 2 oz!! (hopefully that wont happen again either!!) #-o