Perineal Massage
What 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.
Wash hands thoroughly. Ensure there are no sharp or long nails that may scratch the mother.
Locate the perineum, directly below the vagina. It is the skin between the vagina and the anus. Apply some cold pressed and pure oil (such as olive oil) to this skin.
Place the thumbs at the base of the vagina, allowing them the slide inside the vagina (to about the first joint) moving some oil with them.
Using gentle but firm pressure, move the thumbs from the base of the vagina up the side walls as if you were making a "U".
Return the thumbs to the base of the vagina, and repeat procedure.
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.
You May Also Be Interested In:Learn ways to start labor and get information to help put your birth plan together. Find out about ways to reduce unnecessary pain in labor. Search The Natural Childbirth Directory to find a midwife or doula to help you use natural comfort techniques in labor. Find out what normal labor is like. Review the birth plan options that may be available to you. |
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