Most second births the babies are bigger and still you won't tear if you didn't tear in the first birth (usually). Unless the difference is nearly one kilo--maybe you had a premie of 2.5 kilo and then have a fullterm baby of 4 kilo, then you might tear. However, if your first baby is 3000, and the next 3500, you probably won't tear and don't need the epi-no for stretching. The difference in head circumfrences is just not that great in average sized babies.
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