Perineum care is important for pregnant women, since this obscure area of one’s body is actually an exceptionally functional one during vaginal births. Perineal massages are said to be most beneficial in prepping up the area for childbirth.

To begin, find a spot in your home where you won’t be interrupted or disturbed. It’s important you feel relaxed when carrying out this delicate massage on this sensitive area of your body.

The massages can be carried out by yourself or by another individual such as your partner, etc. They can be done in a semi-sitting position, reclining against several pillows, or even standing with one leg on a chair or on the toilet seat.

Tip: If you’re doing this yourself, use a mirror to help you see what you are doing!

You will need to use a good lubricant – Almond oil or lubricant jellies are good choices. Also, make sure your hands (or your partner’s hands) are clean and that nails are short and smooth.

Massage techniques:

• Rub the lubricant on the perineal skin for 3 – 4 minutes until it is completely worked in. Try not to get too much oil into the vagina as it can disturb the normal balance.
• Place your thumbs shallowly into the vagina (no more than 3 to 4 cm, please) and press the perineal floor down towards the bowel and to both sides. If your partner is performing this for you, he or she can use the first and second fingers of one or both hands.
• Gently stretch the opening by pressing down until you feel a slight burning or stretching sensation. Maintain the pressure for about a minute and then rest for a minute or two.
• Repeat this action two or three times and concentrate on any previous episiotomy scars to help them gain more elasticity.
• To reduce the risk of a urine infection, avoid the urethral area (where the urine comes out).

Perineal massages should not be carried out if you have a vaginal infection or genital herpes.

Apart from perineal massages, pelvic floor exercises are also encouraged for they help tone the pelvic floor muscles. These exercises also serve to encourage the relaxation of the pelvic floor muscles.

Prepping

Some women prefer to have a bath or use a warm compress on the perineal area before they start in order to soften the tissues.