I was left stripey all over and with a 2-inch long curved episiotomy scar (actually, I have no clue how long it is, but it's definitely there).
Dunno how that could be explained away.
"Oh, that lil thing? I, uh, slipped and cut my poontang on a broken beer bottle. Yeah, it took twelve stitches to close it up. Couldn't sit down for a month."
Of course, I was just a wisp of a thing in those days, and my first son was 7 pounds 14 oz.
But yeah, it certainly took a toll.
The next one didn't seem to do much additional damage, but he was premature. it wasn't a full-term pregnancy.