Private gynae Dr Vanaja

I don't have direct experience with Dr Vanaja personally, but I think it's really worth having a frank conversation with her about your concerns, because some gynae do have a stronger preference for episiotomy and it helps to understand her specific reasoning for your case. A friend of mine also felt a bit pressured by her gynae on this topic and she found that asking directly "what are the risks for me specifically if we try to avoid it" helped her feel more in control of the decision. If you're still unsure after talking to her, getting a second opinion from another gynae before your due date is always an option lah, it's your birth and you should feel comfortable with the plan.