Exercising, in particular, strengthening the perineal muscles  or pelvic floor, has become increasingly important. It ensures not only a comfortable pregnancy for the mother but less stress during the birthing process for the child.

4th degree perineal tears are the most severe form of tear a woman can experience during the end stages of labor. There are in fact different degrees of perineal tears: Minimal tearing such as 1^st or 2^nd degree tears are common and expected. 3^rd or 4^th degree perineal tears occur more rarely.