6 Benefits of Perineal Massage During Pregnancy

In the last weeks of pregnancy, a perineal massage has various advantages, including reducing the need for an episiotomy and a lower risk of tears. It shortens recovery time, increases confidence, and improves tissue elasticity. A great complement to your prenatal care schedule, the practice also familiarises you with birthing sensations, encourages relaxation, and boosts mindfulness.

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Pregnancy is a period of physical preparation as well as an emotional and psychological one. Perineal massage is a crucial yet often overlooked practice you can consider trying as you prepare for delivery.



The perineum, that is, the space between the vaginal opening and the anus is gently stretched and massaged in a perineal massage. Starting this practice in the later phases of pregnancy, usually around 34 weeks, could assist your tissues in being ready for delivery and maybe help to ease delivery.

If you are exploring ways to assist your body during this crucial period, including perineal massage in your prenatal care regimen offers six major advantages.


6 Benefits of Perineal Massage during pregnancy

Given below are some of the major advantages of including perineal massage in your pregnancy routine


1. Reduces the Risk of Perineal Tearing

The main advantage of perineal massage is its ability to lower the risk of tearing during delivery. The perineum must be stretched enough as the baby's head crowns during birth. If your tissues are not flexible enough, they may tear naturally and require stitches. This will increase the healing time.

Regular perineal massaging helps you to increase the elasticity of your skin and underlying muscles. This preparation might help your body adjust more readily during birth, preventing or lessening severe tears or avoiding them completely.

Although no method can completely remove the risk, research indicates that if you practice perineal massage, you are less likely to suffer significant perineal injuries during birth.

2. Decreases the Likelihood of an Episiotomy

A surgical incision called an episiotomy, made in the perineum after childbirth, enlarges the vaginal opening. Though less common now than in the past, it is nevertheless done under specific conditions.

Your first focus should be on lowering the need for an episiotomy since spontaneous tears frequently heal faster and with less difficulty than surgical cuts. Regular perineal massage may increase your tissue stretchability, therefore reducing the likelihood of needing an episiotomy.

Preparing the perineum ahead of time helps your body to stretch naturally, therefore supporting a simpler and less invasive delivery experience.

3. Enhances Familiarity with Birthing Sensations

The sensations that you experience during childbirth are entirely new and can feel overwhelming. Perineal massage can help you become more familiar with the feeling of pressure and stretching in the perineal area.

This familiarity can be extremely valuable during labour. When you recognise the sensations during the pushing stage, you are more likely to stay calm and work with your body, rather than resist out of fear or discomfort.

4. Boosts Confidence in Your Body's Ability

Often, the physical preparation required in a perineal massage results in a rise in mental readiness as well. Knowing you have actively participated in getting your body ready for delivery will boost your confidence and help you to relax as your due date gets nearer.

Every time you perform a perineal massage, you are reaffirming your body's strength, capability, and readiness for the rigours of labour. This positive mindset can be quite helpful not just during the birth but also in the weeks before it, when sometimes uncertainty can be overwhelming.

5. May Shorten Recovery Time Postpartum

Recovering after childbirth can be tough, especially if you experience significant perineal trauma. Perineal massage might help reduce the extent of tearing or even prevent the need for an episiotomy, which can contribute to a quicker and more comfortable postpartum recovery.

If you experience less perineal trauma, you’re likely to feel less postpartum pain and discomfort. This can make everyday activities like sitting, walking, and caring for your newborn much easier during the crucial first weeks after delivery.

6. Encourages Relaxation and Mindfulness

Although perineal massage is mostly a physical readiness for delivery, it can also offer a great chance to unwind and reconnect with your body. Taking a few minutes every day for perineal massage can help you slow down and find some peace in your daily life, as pregnancy sometimes comes with hectic schedules and continuous to-do lists. This time should be dedicated to yourself so that you can tend to your mental and physical health.

Consider adding aromatherapy, quiet music, or deep breathing to help to further relax the experience. Particularly helpful during pregnancy, these small modifications can help reduce stress and encourage peace of mind. By concentrating on your breath and the sensations in your body, you can develop mindfulness that helps you to lower anxiety and get ready for the demands of labour.


How to Practice Perineal Massage Safely

If you are considering adding perineal massage to your pregnancy routine, it is important to approach it thoughtfully and safely. Here are a few guidelines to keep in mind:

  • Timing: Begin around the 34th or 35th week of pregnancy unless your doctor advises otherwise.
  • Frequency: Aim for three to four sessions per week, each lasting about five to ten minutes.
  • Lubrication: Use a natural oil such as vitamin E oil, coconut oil, or a specifically formulated perineal massage oil to reduce friction and make the process more comfortable.
  • Technique: Insert your thumbs about one to two inches inside the vaginal opening and apply gentle downward and sideways pressure. You should feel a mild stretching sensation, but it should not be painful.
  • Comfort: Choose a quiet, private setting where you feel relaxed. Some women prefer to perform the massage after a warm bath when their tissues are softer.
If you have any pregnancy complications, such as placenta previa or signs of preterm labour, always consult your healthcare expert before starting perineal massage.

Preparing for childbirth is an exciting journey with lots of steps, and one amazing way to support your body in the final weeks of pregnancy is through perineal massage. This simple practice can help promote greater elasticity, build body awareness, and boost emotional confidence. It’s a small but mighty step that could make a big difference in how you experience birth and recovery.

Of course, it’s always important to listen to your body and check in with your healthcare team if you have any concerns. But if perineal massage feels like the right choice for you, it can be a wonderful addition to your preparation routine. It helps you approach your baby’s arrival with more readiness, resilience, and peace of mind!


FAQs on 6 Benefits of Perineal Massage During Pregnancy

  1. When should I start perineal massage in pregnancy?
    According to general guidelines, it is recommended to start perineal massage when you are around 35 weeks pregnant. It should be done a couple of times per week till your baby is born. The perfect time to massage your perineum is when you are relaxed and have some time on hand.
  2. Is perineal massage painful?
    Perineal massage is not painful; with time and practice, it can become a part of your routine. Some women prefer taking their partner's help in performing the massage, this may help increase their comfort levels as well.
Disclaimer: Medically approved by Dr Shaily Sharma, Consultant Gynaecologist, Cloudnine Hospital, Faridabad