wow lots to catch up on, i shall read back properly in a mo, just marking my place on the thread!
re perineal massage, with ds1 i had to have an episiotomy, was determined not to with ds2 so i (or rather dp! did the massaging for me) not sure if it helped as i still tore, but the midwife said that was because of his shoulders. anyway it needed stitching and the hospital were busy so they left it for 4 hours! by which time i was all swollen and bruised down there, obviously! and it was so so painful, even with the maximum dose of local and gas and air! honestly it was worse than the birth which i managed just fine with gas and air! they got one of their 'top' people to come and sew me up as i had an unusual tear and because it was all swollen. they did apologise for leaving it so long and said that was why it hurt so much. so if you do need stitched INSIST they do it asap and with local and lots of gas and air!
with ds3 i had a teeny tear that didnt need stitching
and ds4 didnt tear at all! he was 10lb 13oz and i am sure it is because i had a water birth with him, esp as his birth was very quick.
hoping not to tear this time.
ONE TOP TIP, DO NOT I REPEAT DO NOT GET A MIRROR AND LOOK AT YOURSELF DOWN BELOW IN THE FIRST FEW DAYS/WEEKS AFTER HAVING A BABY! i did with ds1 worst thing i ever did. but rest assured it all went back to normal and after four babies, even huge ones like mine all is fine, just make sure you do LOTS of pelvic floor exercises! they will help healing after the birth.
other tips are pour water on yourself when weeing after the birth, lean back on the loo and pour warm water, then it wont sting when you wee!
also it is important to keep yourself clean and dry, esp if you have stitches, so change pads regularly and pat yourself gently! until dry or you can use a hairdryer on a cool setting to dry yourself, i know sounds crazy but you may be tender and not want to pat with a towel etc.
another tip, for first poo after baby, press against your perinium with a clean,dry pad, it will help and you will feel less like you are going to split in two (again!) and make sure you dont get constipated. btw you may not poo for a few days after you have a baby, the midwife WILL ask if you have pooed, they need to know that all is back to normal
tears def heal better than an episiotomy, from my experience and not all tears need stitching, you midwife will have a look and let you know
right anything else? dont want to freak all you lovely ladies out, but as you were talking perinium i thought i would let you know my experinces and give some tips that have helped tell me to shut up if you want