How long should I do perineal massage?

Typically, women are taught to spend about 10 minutes per day doing perineal massage, starting at about 34-35 weeks of pregnancy. Women are taught to insert 1-2 lubricated fingers about 2 inches into the vagina and apply pressure, first downward for 2 minutes, and then sideways for 2 minutes.

How often should you do perineal massage?

perineal massage is not easy, but preparing your perineum will stretch those muscles and give you the best chance of having a better birth experience. It is recommended to start perineal massage from 34 weeks pregnant, doing it 3-4 times a week, for around 3 or 4 minutes at a time.

How long should a perineal massage last?

Maintain the pressure as you move your thumb from left to right in a U shape (from about 3 to 9 o’clock, if you imagine a watch). You should feel a stretch and a bit of stinging or burning, but never pain. Continue massaging for three to five minutes. Repeat once or twice a week (and up to once a day) until delivery.

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

The process is the same, although he may find it easier to use his fingers, rather than his thumbs. After you’ve been doing perineal massage for a few weeks, you may notice the skin and muscles around your vaginal opening becoming looser. This is a great sign that the massage is working.

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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.

Does perineal massage hurt?

Perineal massage shouldn’t hurt, though you may feel pressure in the first few weeks of starting, which should ease. Avoid perineal massage if you have vaginal herpes, thrush or a vaginal infection (Oxford University NHS Trust, 2017).

How do you give yourself a perineal massage?

How to do perineal massage

  1. Sit with your legs apart and your back supported. …
  2. Put some massage oil on your fingers. …
  3. Place a thumb or finger about 5 cm (2 in.) …
  4. Still pressing and stretching outward, sweep down to 6 o’clock and over to 9 o’clock.
  5. Repeat for a total of 4 or 5 minutes.

How do you prevent perineal tears?

How can I avoid a perineal tear?

  1. Perineal massage. Massaging the perineum in the last few weeks of pregnancy can reduce the chances of tearing during birth. …
  2. Birth position. Kneeling down, being on all fours or lying on your side during labour may reduce the risk of tearing. …
  3. How your midwife can help. …
  4. Where you give birth.

How do you do perineal massage when you cant reach?

Insert 2-3 fingers about 4-5 cm inside the vagina. Gently but firmly pull the vagina back towards your rectum, until you feel a tingling. It shouldn’t hurt or burn. Hold for 1-2 minutes.

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Which oil is best for perineal massage?

Lubricate your thumbs and the perineal tissues. Use a lubricant such as vitamin E oil, coconut oil, almond oil, or any vegetable oil used for cooking—like olive oil. You may also try a water-soluble jelly, such as K-Y jelly, or your body’s natural vaginal lubricant.

How can I soften my perineum?

Perineal massage lengthens and softens the tissues of the perineum. You can start this at 35 weeks of pregnancy. Perform this massage technique for 10 minutes once a day. Take a warm bath or hold a warm compress on the perineum for 10 minutes to help you relax before the massage.

What’s a perineal rupture?

Vaginal tears during childbirth, also called perineal lacerations or tears, occur when the baby’s head is coming through the vaginal opening and is either too large for the vagina to stretch around or the head is a normal size but the vagina doesn’t stretch easily. These kinds of tears are relatively common.