How to give a perineal massage

What do you use for a perineal massage?

Oils to use for perineal massage natural oils, like organic sunflower, grapeseed, coconut, almond, or olive. personal lubricants, like K-Y Jelly, are also a good choice because they’re water soluble. your body’s own vaginal lubricant, if this makes you more comfortable.

Does perineal massage actually work?

For a first pregnancy, perineal massage has a modest and definitely measurable impact on reducing the need for stitches (either from tearing or an episiotomy). This translates to reducing the need for stitches by approximately 10 percent and the need for episiotomy by approximately 15 percent.

How do I know if I am doing perineal massage correctly?

The critical thing to remember about perineal massage is that if you are feeling a stretching and mild muscle burn through the use of your fingers as you massage and press against the back portion of your birth canal (your vaginal opening), you are doing valuable perineal massage .

How can I do perineal massage at home?

Insert your thumb into your vagina up to about your first knuckle. (You’ll just be massaging your perineum , not your full vaginal wall.) Apply gently pressure in your vagina downwards, toward your rectum.

Do you shave before giving birth?

Our current advice is that you don’t shave or wax your pubic area just prior to giving birth , as this increases your risk of infection, especially if you have an operative procedure like a caesarean section.

How early can I start perineal massage?

You can start at any time from 34 weeks of your pregnancy. Perineal massage can be done by you or your partner, if you are comfortable with this. You may want to start off doing the massages to begin with, then invite your partner to massage as you get nearer to the time of the birth.

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Does perineal massage hurt?

Perineal massage shouldn’t hurt , though it may feel quite uncomfortable, particularly at first. If you are finding it painful , especially after you’ve been doing it for a few weeks, your GP or midwife can help to check your technique.

How often should you perineal massage?

Massage the perineal area slowly for up to 10 minutes once or twice a week only. If you do the massage more than three times in two weeks it does not work as well, so less is better!

Does everyone rip during childbirth?

Only 2% of women endure the most severe form of perineal tearing during birth , involving the vagina, perineum and sometimes the anus. Around 27% of women experience no tearing at all, while 23% have a very minor vaginal tear or graze that often does not require stitches and heals on its own.

Can perineal massage induce labor?

Perineal massage will not induce labor , however it is best to avoid unnecessary stimulation. See related article “Protecting Your Perineum ” by Hayley Oakes LM, CPM as to how to further prevent tearing during childbirth.

How can I prepare my body for labor?

Four Easy Ways to Prepare Your Body for Labor and Birth Get/stay/keep walking. Walking is one of the simplest but most effective ways to move your body — and it provides benefits far beyond the physical. Minimize sitting. As a culture, we spend too much time sitting and sitting in poor form. Start squatting. Move over kegels — make room for squats! Wear flats.

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How do you prevent perineal tears?

From 35 weeks onwards, you or your partner can use daily perineal massage until your baby is born which may reduce your risk of tearing . Perineal massage while pregnant Warm bath. Sit in a warm bath before you start. Short nails. Comfortable position. Lubricant. Thumbs. Gentle massage. Repeat daily or when possible.

How can I avoid tearing during delivery?

Here are six ways to reduce tearing : Perineal massage. Studies show that perineal massage reduces your chance of tearing during birth . The Epi-no. If you can’t get the hang of perineal massage (and some women can’t), try the Epi-no birthing trainer. Water baby. Warm, wet towels. Don’t lie down. Keep calm and carry on.

How can I avoid tearing during labor?

To decrease the severity of vaginal tearing , try to get into a labor position that puts less pressure on your perineum and vaginal floor, like upright squatting or side-lying, Page says. Hands-and-knees and other more forward-leaning positions can reduce perineal tears, too.

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