Current clinical guidelines and studies show that a history of severe perineal tears (OASIs) does not mandate a routine C-section for subsequent births; rather, subsequent vaginal delivery remains a safe and viable option following appropriate counseling and risk assessment.
The claim states that severe perineal tears in a first birth indicate a C-section for subsequent births. Multiple systematic reviews, meta-analyses, and clinical guideline papers (such as [5], [7], [8], and [11]) explicitly refute the idea that a C-section is strictly indicated or mandatory. Instead, they demonstrate that subsequent vaginal delivery is a safe, viable option with low recurrence rates when accompanied by proper counseling and standardized protocols, and that mode of delivery does not automatically dictate worsening pelvic floor outcomes. Therefore, the evidence clearly refutes the claim.