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Perineal MassageWhat is perineal massage?Perineal massage is the gentle stretching and massaging of the perineum (skin between the anus and vagina) during the last few weeks of pregnancy. This has been shown to reduce the incidence of episiotomy and perineal tears during childbirth. Why does perineal massage work?Perineal massage does not "lengthen" the tissues of the perineum. However, it does increase the stretch in two ways. First, perineal massage is done with a cold pressed oil, which lubricates the tissue making it softer, more supple and improving is flexibility. This makes it easier for the tissues to stretch as the baby is born. Second, perineal massage familiarizes the mother with the stretching sensations she will feel as the baby is born. This helps her learn to keep her perineal area relaxed during the stretching of crowning which can help prevent tears. How do I do it?Perineal massage can be done by the mother or her partner. The mother should be in a comfortable place, sitting or reclining in a way that gives access to the skin around the vagina. It can be done for up to 10 minutes a day during the last four weeks of pregnancy.
As the mother becomes more comfortable with the stretch, you may increase the amount you stretch the skin. Some sample perineal massage techniques:The mother may perform perineal massage as part of her daily bathing routine, before her bath or shower. The mother and partner may enjoy the stimulation of perineal massage before intercourse. The mother may perform perineal massage as part of a nightly relaxation routine before going to bed.
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