It could: A lot depends on the size of the baby, the size of the head, how far along you are, and the size of your vaginal opening. Also the presentation of the baby and the angle of the head. Many women tear, or a tear is created using an episiotomy to avoid further tearing. Mostly it's a small tear, but even large ones can be repaired. Your OB can better discuss your risk of tearing.
Answered 1/21/2015
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