If you don't have an epidural, you're less likely to tear in the first place... so that's something to consider as well. I had a med-free birth of a 9lb baby, I'm 5'2" and was 125lbs with a small frame befor
e getting pregnant, and didn't need a single stitch. It also helps if you aren't laying on your back to push - there are several better options for
If you do need stitches
, the magic word is "lidocaine".