Hi Lauren, A birth like that usually is only once in a birthing career, and you can expect a much easier birth this time, and you probably won't even need an epidural. If you only had small tears that didn't need any stitches, chances are good that you will not tear at all this time., and you don't have to practice too much. Try getting to 10 this time. If you did have stitches, then you need to practice daily and do your best to get to 10 cm. Remember to put only half or 2/3 balloon inside so that the widest diameter, which is in the middle, is at the entrance to the vagina. You have excellent chances of not needing any stitches this time. If you have the model with the manometer, then do pelvic floor exercises as well now and after birth. If you have the regular Clinic model, then do Kegel excercises on your own. Wishing you a much easier birth this time, Ilana
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