Definitely be upfront with your OB. I've got a list of things I'll be talking to him about for the next one. Mind you, we did discuss these things during my pg, and he has quite a low intervention rate.. he did give me a %.. umm.. can't remember.. 6%? 3%? I really can't remember. He was great, explained all the different types of tears you can get, and how there are monstrously bad tears where it would be better to cut, but unless its looking really bad, he prefers not to. I had a lot of trust in my OB when it came to that kind of intervention. But I will be requesting more time before being augmented if it happens again next time