My son was 9 lbs when he was born and I ended up with a 2nd degree tear, they gave me a squirt bottle for when I went to the bathroom. Best advice ever is use it .. it helps a lot. It made it not burn when I had to pee lol @miyah
With the epidural I didn't feel a thing, they used the vacuum with my baby too and I felt "empty" for lack of a better word lol when she was out. Didn't hurt but I did feel them pull her out. Worst part is recovery when the meds wear off
I guess it depends how long you push for. I pushed for like 1 hour and they had to use the vacuum to help get my son out. But once he was out it felt a lot better!