Is it possible to avoid getting fourth degree tear during labor?

C-section or inducti: If you have episiotomy a 4 degree even though we try to prevent it is possible, another way is for your gyn to cut a lml episiotomy meaning it is cut at an angle away from the rectum- prob is these are much more painful than a regular non4th epis., another possiblity is that you get induced early at 39 wks without an amnio or 38 -38-6 with an amnio so the bay is not too large talk to your ob.