Perineal massage techniques, benefits, and FAQs: Your complete guide

Preparing your body for childbirth is an empowering and important step. One of the most effective ways to support a smoother vaginal birth and reduce the risk of perineal trauma is through perineal massage.

In this guide, we’ll cover everything you need to know about perineal massage techniques, when to start, how to perform it safely, and why so many experts recommend it as part of your birth preparation.

WHAT IS THE PERINEUM?

The perineum is the area of skin and muscle between the vaginal opening and the anus. It plays a vital role during childbirth, stretching significantly as the baby’s head and shoulders pass through the vaginal opening. Supporting the pelvic floor muscles, the perineum also protects critical organs like the bowel and bladder.

WHAT IS PERINEAL MASSAGE?

Perineal massage involves gently stretching and massaging the perineum during the final weeks of pregnancy. This practice helps soften the skin and underlying muscles, promoting elasticity and resilience ahead of childbirth. It's a simple, natural technique shown to reduce the risk of tearing and the need for an episiotomy.

BENEFITS OF PERINEAL MASSAGE DURING PREGNANCY

Research shows regular perineal massage from 34–35 weeks of pregnancy can:

• Reduce the risk of severe perineal tearing (3rd and 4th degree) by 64%
• Lower the likelihood of needing an episiotomy by 21%
• Improve wound healing post-birth
• Reduce postpartum perineal pain
• Support long-term pelvic floor health and reduce incontinence risk

By gently preparing the tissues to stretch, you’re helping your body experience a smoother, less traumatic birth.

PREPARING FOR PERINEAL MASSAGE.

• Warm up the area: A warm bath or compress can help soften the skin before you begin.
• Use a nourishing oil: Choose a natural, safe oil like PURE MAMA Perineal Massage Oil, made with Evening Primrose, Apricot Kernel, and Vitamin E.
• Get comfortable: Find a quiet space, relax your body, and use pillows or props for support.

HOW TO PERFORM PERINEAL MASSAGE: Two Techniques

Whether you’re massaging yourself or with a partner’s help, these two expert-approved perineal massage techniques can help you prepare confidently:

Technique 1: Reclining Position

1. Lay back comfortably on a clean towel with your knees bent and legs apart. Prop yourself up with pillows if needed.
2. Using PURE MAMA Perineal Massage Oil, gently insert both thumbs or fingers (if a partner is assisting) 3–5 cm into the vagina.
3. Firmly press downward toward 5 and 7 o’clock.
4. Progress into a sweeping, U-shaped motion across the lower part of the vagina.

Technique 2: Standing Position

1. Stand with one leg raised on a small chair (like a lunge).
2. Using PURE MAMA Perineal Massage Oil, reach your hand behind, gently inserting one thumb 3–5 cm into the vagina.
3. Apply firm, downward pressure toward 5 and 7 o’clock.
4. Hold the stretch for 1 minute, then sweep across before switching sides

 

PERINEAL MASSAGE FAQ'S

When should I start perineal massage?
Begin at 34–35 weeks of pregnancy, performing it 3–4 times per week.

Does perineal massage prevent tearing?
Studies show regular perineal massage significantly lowers the risk of severe tears and the need for an episiotomy.

Is perineal massage painful?
You may feel a strong stretching or stinging sensation, similar to what you may experience during birth. It should not be sharply painful.

Can perineal massage prevent incontinence and pelvic organ prolapse?
By reducing severe perineal trauma, massage supports pelvic floor integrity, helping prevent long-term issues like prolapse and incontinence.

Can perineal massage prevent an episiotomy?
Yes, improving the perineum’s stretchability reduces the chances of needing a surgical cut during birth.

What if I can’t reach my perineum?
You can use a pelvic massage wand for easier access, or ask your partner for help.

Is perineal massage safe?
Yes, for most women after 34 weeks. Always check with your healthcare provider if you have complications such as placenta previa or vaginal infections

Perineal massage is a simple yet powerful way to support your body’s preparation for birth. By taking just a few minutes several times a week, you can reduce your risk of tearing, strengthen your pelvic floor, and approach labor with more confidence.

Backed by experts and trusted by mothers, PURE MAMA Perineal Massage Oil is designed to make this important ritual even more nourishing, safe, and effective.

Ready to start your journey?

Shop PURE MAMA Perineal Massage Oil here.