18. Pelvic floor related outcomes i. Within and across intervention groups, correlate UI, FI and POP symptoms and impact and POPQ exams in women with/without LAM injury (control for LAM injury when comparing pelvic floor symptoms between immediate and delayed pushing groups) ii. Characterize rates of regression/persistence of pelvic floor symptoms/impact and objective (POP-Q and LAM) measures from 4-8 weeks to 5-7 months in the delayed versus immediate pushing groups iii. Characterize risk factors associated with LAM injury independent of intervention group iv. Characterize risk factors associate with persistence of pelvic floor symptoms v. Correlate overt and occult LAM injury to objective and subjective measures of pelvic floor morbidity vi. Rate of LAM defect on follow-up imaging after repair of overt laceration vii. Predictors of overt and occult LAM injury viii. Characterize rates of 3rd and 4th degree tears by randomized group ix. Characterize predictors of anal sphincter injury x. Predictors of anal sphincter defect following primary repair