Tears tend to heal better then an epis, plus there is always a risk with an epis that they can extend. However third and fourth degree tears are more complicated and include the anal sphincter so an epis would be preferable to that.I think she said she wanted to tear naturally rather than be cut. I would have imagined that wanting to tear "naturally" would lead to worse ripping and tearing than a controlled cut. maybe someone can help clarify is tearing naturally something that many women opt for or was that just melanie trying to avoid something just because it's a medical intervention?
I'd rather tear then have an epis. Also I've had three kids and the worst part of anya of it was being catheterised when I was having a haemorrhage. It bleeping hurt. However normally if they are doing a spinal prior to an instrumental we put an indwelling catheter in after the spinal as its more comfortable.