If the placenta is not delivered, or if you have a very severe tear you may need to go to hospital. (medic8.com)
What if this woman's mother or sister suffered severe tearing? (skepticalob.com)
«The results highlight the increased risk of severe tearing in women who have a third or fourth degree tear in their first delivery and therefore will help women along with a multidisciplinary team of healthcare professionals to make decisions about the mode of delivery in future pregnancies to ensure the best outcomes for mother and baby.» (sciencedaily.com)