What is perineal massage?
Perineal massage is a technique used during pregnancy to prepare the perineum (the area between the vaginal opening and the anus) for childbirth.
What is the point of Perineal Massage?
Perineal massage is a powerful technique. It enhances tissue flexibility in perineum, which can reduce the risk of tearing, but the benefits go much deeper as part of your preparation for you birthing journey.
Perineal massage helps you create a meaningful connection with your perineum. It can be a useful part of birth preparation as it makes you familiar with some of the sensations you may experience as well as providing a way to practice your breathing for labour. Learning to soften into any uncomfortable sensations, rather than tensing against them, can be an invaluable skill to carry into your birthing space.
What are the Benefits of Perineal Massage?
Research shows that perineal massage can be helpful in vaginal deliveries. It has been linked with:
21% lower incidence of episiotomies
64% reduced risk of third and fourth-degree perineal tears
Better wound healing if tears do happen
2.39% less likely to have perineal pain during postnatal period
Reduced second stage of labour
70% reduced risk of anal incontinence
When can you start perineal massage?
Perineal massage can be started from 34 to 35 weeks.
Who should avoid perineal massage?
Perineal massage is generally considered safe during pregnancy. However, you should not do perineal massage if you have the following:
a low-lying placenta (placenta praevia)
active genital herpes
genital warts
thrush, or other vaginal infections
Note: If you have high blood pressure, it is best to discuss this with your birth care provider before starting perineal massage.
Do you want to do perineal massage but you don’t know how to start? We provide support for perineal massage?
Many mums-to-be find perineal massage a bit daunting at first. Perhaps you're wondering if you're doing it correctly? Maybe finding a comfortable position feels tricky? Or you might be experiencing some discomfort and aren't quite sure why. These feelings are completely normal and professional help may make all the difference in your journey.
Sarah and Elizabeth (Liz) are experienced osteopaths who can either guide you or your partner through the process, or if you prefer, you can get them to do your perineal massage as part of your session.
Want to know more about a perineal massage session?