Definitely not. An episiotomy makes it easier for the doc, but sometimes much tougher for you and your recovery! When we had our first baby, we discussed with the doctor our desire to NOT get an episiotomy. More and more research is showing that the incision (invariably leaving desensitized scar tissue behind) is not needed if you prepare. (Keep in mind, however, that if you DON'T prepare, an episiotomy is preferable to tearing.)
How to avoid it:
- About a month prior to the due date, start perineum massage to stretch your pelvic floor muscles.
- The Epi-No, which is used quite commonly in Europe, is a birth preparation device designed to get you to that needed 10 cm. (Don't fret gentleman, this tightens back up!)
Conclusion: If you're fine with getting cut in the crotch, don't worry about it. For those of us that like 1 hours labors, a no-push delivery, no stitches, and a go-home-after-3-hours recovery, birth prep stretching is the key.