Danni, your m/w can take care of tears as long as it's not too bad. I can't book in to my private ob or private hospital, because there's no shared care. But I have booked in to the closest public hospital in case I need to transfer as a private patient. If I need to see an ob then I can request an ob and I have two recommendations, but I will be limited as to who's available if I go in as an emergency. I have seen a m/w and ob at the hospital and they have my details and birth plan on file. It was simple and I have actually had nothing but supportive comments from the hospital staff (and hopes that I wouldn't see them again!).

You don't have to do any of the above, it's totally up to you. I did it because it seemed easier to take care of it and then not have to think about it.