You need to inform your Doctor so he or she will confirm and if all parameters are fine she will ask you to go for epidural analgesia. Under which 90 percent pain will subside and u will deliver in 10 percent of the pain.
Yes, at the time of birthing to avoid trauma to subsequent organs like the bowl and bladder we give a small incision on the vulva called an episiotomy. Which is sutured under anesthesia in 3 layers.