you can always say no. what is the point of it? what are benefits and risks of choosing to have it or not? It doesn't sound pleasant to me and I wonder about the necessity of it.
even if you have a tear, many women chose not to have them repaired. so leaving the examination for a day or two should be fine, particularly a manual examination.
A peri-check is just checking for tears after delivery. It is good to know if you've got a tear, because then you'll know if you need to be extra careful with how you move, even if you decide not to have it repaired. And, tearing is a contributing factor in excessive bleeding post-partum, so it can be a safety concern as well. I think it is worth the check, personally. Some midwives are good at doing it carefully without hurting those stretched sore spots, and others are not! Like I mentioned before, the midwife I and my sister had previously was terrible - she was poking and prodding and calling others over for a second opinion, and hemming and hawing, all with her hands in the whole time. That is NOT necessary!
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