My best friend had a 4th degree tear with her first. Surgery straight after birth, 25 stitches. She did go on to have two more very straightforward deliveries with no tears. But my goodness, the tearing itself is bad enough, but the risk of double incontinence? Must put this out of mind.
Ina May Gaskin reckons in all her years of midwifery she has never seen a woman tear when kissing her partner during delivery. So maybe that's the answer. How romantic do you think I'll feel at that stage?