I was nervous about tearing before labor, but at the point of actual birth that was my last thought. I had a couple first degree tears this time, but I didn't really feel them tear. I did feel the periurethral tear, but it actually felt really good when it gave way and her head came out. Afterward I was sore for a couple of days. I just made sure I wasn't stingy with the ice pacs and took some motrin. By day three I was feeling pretty good. BTW...neither of my kids had cone heads. They both were born with perfectly round heads. Might be why they tried to stretch mommy out so much.
The moral of the story is that most tears are not that big of a deal. Not tearing at all would be best, but don't fear if you do. You'll be tender for awhile but it will be ok.
Mama to Gabe 8-03 and Cyan 5-09