Perineal Massage
What is it?
Perineal massage is a technique used to stretch the vaginal opening in preparation for delivery. This technique can be done by yourself or with your partner. The value of perineal massage is to improve the stretching of the vaginal tissue to minimize tearing during childbirth.
How do I do it?
Make sure to start by having an empty bladder and washing your hands. Some find it helpful to take a warm bath or use a warm compress before they start. Once you have done this, find a comfortable position for yourself. It may be helpful to use a mirror at first to become familiar with your vulva and vaginal opening.
Once you are ready to begin, make sure you are selecting a lubricant that is right for you. Water-based lubricant is typically recommended. In addition, more natural oils are acceptable such as coconut or olive oil.
To start the perineal massage process, gentle insert the thumbs into the vaginal canal up to the first knuckle. Then, press down gently toward the rectum. Press until you feel mild stinging, burning or pressure. Pain should be avoided. You can also place pressure to the side of the vaginal canal, and finally in a “U” shaped sweeping motion. Focus on breathing during this process to promote relaxation and reduce pain.
This process should be repeated 1x/day from 34 weeks onward.
Who SHOULD NOT do this?
Perineal massage should be completed only after 34 weeks gestation. There is a risk for preterm labor before this point in pregnancy. Perineal massage should also not be completed if you have placenta previa or any other condition that causes vaginal bleeding during or after the second trimester. Additionally, thrush or any other infection of the vulva can worsen with perineal massage.
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