I had an episiotomy and 3rd degree tear with my first, and the tear went very deep internally as well. I got an epidural, which worked a little too well because I felt nothing. I couldn't even feel to push. After almost 3 hours of pushing (and my baby was face up), I had a vacuum delivery. She was 7 lb 13 oz. I remember it took like 45 minutes to stitch me up.
With my second, I tried to go without the epidural, but I couldn't cope with the pain. I got the epidural and this one worked perfectly. I pushed 3 times and that baby shot out. I got a 1st degree tear with this one. He was 8 lb 7 oz. This delivery was so much fun I would literally do it every day if I could. lol
Oh and to add, I was very afraid to give birth the second time around because of how badly the first went. But it was a breeze. I was also scared because the doctor said if you tore before then you will always tear again, but it won't be as bad the second time. The recovery from both felt the same, which surprised me because one was a lot worse. Oh and I also had a fear that since I tore twice I would have trouble holding my bladder and would leak pee forever or something, but absolutely no issues there.