I had an episiotomy first time round (and stitches burst afterwards - not nice!). Convinced I would tear second time round due to weakness in that area, but only had a few scratches so didn't need any. Result!
thank you. yes my son was born with his arm behind his head(ifI remember rightly!) its strange because I seem to remember more about the stitches than the actual birth as the experience was quite horrid! I was stitched by a registrar who did them wrong. she had to take them out and start again so it dragged on for over an hour. she hardly said a word or looked at me and was very cold and rude despite me telling her that I could still feel quite a bit of pain. im thankful that I didn't have to have them in my perenium!
If you managed to give birth without perineal stitches the first time, there is a good chance you will avoid them again.
Labial stitches are less common. As a mw I only stitch the labia if it looks like they might heal awkwardly. They are usually caused by the baby coming out with a hand by the head, not within your, or the midwife's control.
I had stitches after giving birth to my son nine years ago(not in perenium but outer labia,sorry if too much info). for many reasons it was a bit traumatic and i don't want a repeat experience! im pregnant with my second and wondering if its likely that I will need stitches again this time round?