Not sure if right forum, we didn't have the best birth experience (partner posting on behalf of mum). Much of this was baby/mum related (progressed rapidly, and delivered within 3 hours of getting to hospital), things like birth plan therefore went out the window, tried to convey that one of the biggest concerns was of getting a 3rd-4th degree tear (trumped only by something like a hypoxic brain injury to baby), and if there was anything we could do to avoid this, would be keen to try. Ended up delivering in Lithotomy and (we think) instructions for pushing may have been incorrect - told to push hard, continuously throughout contractions. Left now with a 3rd degree tear, needed stitching in theatre. Wasn't all down to midwife, she needed help and used call bell twice (for Dr and then 2nd midwife but no one was available - it was a really busy night). Also this was 3rd midwife 3 hours (they were just too busy and hadn't accounted for us, and now rapidly we'd progressed, so had to be passed from one to the other), so not much continuity. Ofc very relieved baby is safe and hoping mum doesn't have any long term effects. I don't know if we should say anything? Is this normal? We have no frame of reference. The doctors said they'd explain things but they didn't really know why things happened the way they did and just left things at that.