Pregnancy question for Fluther mothers!

My best friend is about 11 weeks pregnant with her second child and wanted me to ask the moms here a question.

During her first delivery, my best friend experienced a fourth degree tear and because of that, her doctor told her today at her appointment to seriously consider a c-section. She’s pretty worried now and doesn’t know yet what she wants to do. She definitely doesn’t want to experience that kind of tear again, but she also doesn’t want to have a c-section.

So her question is: How many of the moms here experienced a fourth degree tear more than once with a vaginal birth? Or, if you experienced a fourth degree tear with one child, did you choose a c-section for your second child?