Has anyone had a grade four tear and is now pregnant or had subsequent pregnancies? I would love to hear your story. I had a grade 4 tear exactly one year ago. Im 11 weeks pregnantand its recommended that I have a c-section b/c I could tear again...it might not heal. While I certainly do not want stool incontinence or a fistula, I really dont want a section. I healed well with my tear and was walking 1-3 miles every other day starting one week after. I lightly jogged 3 miles 6 weeks post and ran a 10k 3 month s later. I was in severe pain and crying on the toilet for about one week after, but that was the worst. It took longer to heal down there than a regular vaginal but nothing intolerable, I think I healed well. My visit to the rectal surgeon this month will tell me for sure! I want to be as active as I in recovery. will I be able to do this with a c-section? Running and staying active are very important to me. My OB seems to think grade 4 tear is worse surgery to recover from, but I disagree.