Perineal Massage with Diagrams: A Complete Guide

Preparing for childbirth involves more than just packing your hospital bag. One technique that’s gaining popularity among expectant moms is perineal massage. But what is it, and how can it help you during labor? 

What is Perineal Massage?

Perineal massage involves gently stretching the perineum—the area between your vagina and anus—to help it become more flexible in preparation for childbirth. This simple technique, when practiced regularly during the last weeks of pregnancy, can reduce the risk of tearing, the need for stitches, and perineal trauma. The goal is to make the perineal tissues more elastic, easing the process when your baby’s head crowns during delivery.

Perineal Massage with the Perimom Perineal Massager

If you’re looking for a tool to make perineal massage more comfortable and effective, the Perimom Perineal Massager is a fantastic option that is approved in agencies in three continents! Designed with ease of use in mind, this device helps you reach the perineal area without straining or twisting, making the massage process less awkward and more comfortable.

How to Use the Perimom Perineal Massager

1. Prepare: Find a private, comfortable space and apply a natural lubricant, like almond oil, to the massager’s tip. Sit or lie down in a comfortable position, such as with your back propped up against some pillows.
2. Hold: Hold the Perimom in your right hand
3. Apply Perineal Massage Oil: You can lubricate the tip directly or use the unique specialized oil channel for less mess.
4. Insert: Gently insert the Perimom massager into the vaginal opening
5. Massage: Apply gentle pressure in a U-shaped motion, stretching the perineum downward and to the sides. 
6. Breathe and Relax: Continue for 5-10 minutes, breathing deeply and consciously relaxing your muscles. You can use the Serena Perineal Massage Companion for additional guidance. 

The Perimom Perineal Massager is especially helpful if you’re finding it difficult to reach. It gives you greater control and precision, making the massage process smoother and more effective.

Read more about How to Use Perimom here.

Perineal Massage on Your Own

If you prefer using your hands and are able to reach, that’s perfectly fine too! Performing perineal massage on your own can be an intimate way to connect with your body and prepare for the birth of your baby.

Here’s how to do it:

1. Get Comfortable: Find a quiet, relaxed environment. You might want to try this after a warm bath when your muscles are relaxed.
2. Use Lubricant: Apply a generous amount of perineal massage oil to your fingers and the perineal area.
3. Position Your Thumbs: Insert your thumbs about 1-2 cm into the vaginal opening, and press down towards the rectum.
4. Stretch and Massage: Gently massage in a U-shaped motion, applying pressure to the sides. You should feel a stretching sensation, but it should never be painful. Repeat this for about 5-10 minutes.

Refer to the perineal massage diagram below for more information.

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Perineal Massage with a Partner

Having your partner assist with perineal massage can be a wonderful way to involve them in the preparation process and to share in the experience of preparing for labor.

Steps for Partner-Assisted Perineal Massage:

1. Find a Comfortable Position: You can lie back on the bed with your legs supported by pillows. Communication is key here; make sure you’re both comfortable.
2. Use a Lubricant: Have your partner apply lubricant to their fingers and the perineal area.
3. Guided Massage: Your partner can use their two index fingers, inserting them about 1-2 cm into the vaginal opening, and follow the same U-shaped massage motion. Make sure they apply gentle, steady pressure and listen to your feedback.
4. Relax and Breathe: It’s essential to stay relaxed throughout the process. Deep breathing can help release tension and make the massage more effective.

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Perineal Massage with a Partner

This can be a bonding experience and a practical way for your partner to feel involved in the birth preparation process.

Perineal massage is a simple yet powerful technique to prepare for childbirth

Whether you use your hands, the Perimom Perineal Massager, or ask your partner for help, the key is to start early, be consistent, and approach it with a relaxed mindset. By taking these small steps, you’re helping to reduce the likelihood of tearing and preparing your body for a smoother delivery.

Don’t forget to consult with your healthcare provider before starting perineal massage to ensure it’s safe for you. And if you’re ready to give it a try, use the perineal massage diagrams to guide you every step of the way. Remember that perineal massage is only one building block in your birth preparation routine. Don't forget to eat well, use the right essential oils, and do perineal exercises.

You’ve got this, mama! 💖