I can't tell you how useful all this information and advice has been - I haven't come across many people who have dealt with a forceps recovery (or similar), so I'm amazed at the response to this! I really am feeling much more positive about it all now. Thank you, SBryan for all that really useful information. Now I understand why medical practitioners may advise or even demand an episiotomy. I had heard that they cut away from the perineum towards the thigh in order to avoid a 'front to back' tear (yikes!). It really must be dreadful to witness severe tears when a woman has refused something that should take a shorter time to heal. At the same time, I can also see the point EDmummy is making - maybe you were lucky! About your midwife backing you up - I guess that really did help and encourage you. The Oakwood midwives were only available for home birth the night I had my son due to staffing issues, and, although I stayed at home for the first 25 hours of my labour (including 2 visits form them and using a birth pool, I was so mortified at my 1cm every 7 hours progress, and so in pain, I took myself off to Kings. Luckily I had an absolute angel of a midwife who was just amazing for the next gruelling 21 hours, but I did miss having an Oakwood midwife there, after doing my birth plan with them! I do wonder what may have been different - maybe nothing at all! Redemily222 - more encouragement - thank you so much! I'm so happy to hear about your wonderful 2nd birth (and so quick too! I think the length of mine was the worst part). I completely agree about the lack of after-care for women who've had instrumental births. Why not cut that perineum clinic queue and offer the pelvic floor programme at the first post-natal check? My midwife did tell me to do them, but I thought that was just a routine thing and not for me especially. Does anyone know where I can get hold of this programme (hmm, without the queue, ideally!)? Thanks for mentioning the perineul massage, Molly - I'd love to know the answer to your question. Anyone got any advice regarding it. Anna_r - i really hope the birth of your next child goes well - here's hoping for no (or little) tearing! I really hope that expectant mothers read this too! I'm already planning what i'll be doing next time round! Thanks again everyone!