I got an episiotomy for my first and it was a shocker, but then that was NZ and they must have had a newbie doing it as I never quite healed properly. I think if I had of had a more active birth I could have avoided it but as we know first time around it is a bit of a shock and you are guided by your support people and my midwife was sort of useless. Anyway with my second (which I had in Melbourne) I asked not to have an episiotomy if possible but they did not believe my scar tissue was going to stretch enough so cut me again. I stressed that it was a terrible repair job so they tried to neaten it up but in the end I think it took me longer to heal second time around than first. I couldn't even pee it hurt that bad but these things happen.
I have two beautiful children and very little discomfort now so I am happy. Just wondering how to handle this area when we go for #3. Next time I am definitely going to write down and express clearly that I would like to try all possible ways to avoid being cut before they cut me again. But in the end if it is needed so be it.
Just be clear about what you want and don't let anyone push you into something without explaining the facts first (easier said than done when you are in labour but at least then they might think twice before just rushing into do something you might not neccesarily want) Just my opinion anyway.
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