Ob/gyn told me Im loose...

I am 24 weeks pregnant with my second child and have been feeling pelvic/bladder pressure, peeing often and leaking a little bit when laughing/sneezing etc. With my first, I delivered vaginally after pitocin induction, epidural. I pushed for under an hour but but i couldnt feel it, my doc at the time rushed me and gave me an episiotomy straight down. I healed fine after but did have a slight bladder/uterus prolapse which went away with kegels/on its own. Now i am worried of ryining my pelvic floor even more and i asked my current ob/gyn to take a look. He said that i am quite loose (even though ive been doing kegels religiosly) and that birthing vaginally (specifically the pushibg stage) is very likely to make pelvic floor issues/incontinence worse. He said he can offer a csection if i want. I am thinking of going for a second opinion... i dont want a csection but i also dont want a worsened pelvic floor issue... anyone out there with similar problems or just have advice?