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Sweet Pea Births

Chandler, Arizona

Sweet Pea Births

...celebrating every swee​t pea their birth

Blog

Info Sheet: Perineal Massage

Posted on February 7, 2014 at 5:21 AM
"Prenatal" aka "Antenatal" Perineal Massage
 
*Definition
Massaging, stretching and/or relaxing of the perineum & perineal tissues, the area between the vaginal opening and the rectum.
 Source: Journal of Midwifery & Women’s Health Publication

 
Image Source: http://www.nurturingheartsbirthservices.com/blog/?p=1362
 

*History
Women frequently suffer perineal trauma while giving birth and thus interventions to increase the possibility for an intact perineum are currently being explored. Reducing tearing has been the subject of many research studies.

Some have shown favorable outcomes: 

“antenatal perineal massage appears to have some benefit in reducing second or third degree tears or episiotomies and instrumental deliveries. This effect was stronger in the age group 30 years and above.”
Source: http://www.childbirth.org/articles/massageref.html

and, some have shown neutral outcomes:

“The practice of antenatal perineal massage showed neither a protective nor a detrimental significant effect on the occurrence of perineal trauma. “
Source: http://www.ncbi.nlm.nih.gov/pubmed/18751626
 

*PROS
  • It increases the elasticity of the perineum. This improves the perineum’s blood flow and capacity to stretch more easily and less painfully during birth
  • Helps you to focus on relaxing and opening of the perineum
  • Perineum is less likely to be painful after birth
Source: http://www.ouh.nhs.uk/patient-guide/leaflets/files%5C090924perinealmassage.pdf
 

*CONS
  • Massaging too aggressively (to the point of a painful or burning sensation) can cause micro tears in the perineal tissues which may (but not likely) lead to the body forming scar tissue or less pliable tissue in it’s place during the healing process
  • Emotional or psychological consequences of fear and/or bodily inadequacy that could affect a woman in birth
  • Uncomfortable, according to several studies approximately 70% of women claimed they did not enjoy or would not choose to do perineal massage on their own. 
  • Massage should not be performed if there is an active vaginal infection or there is any possibility that membranes (water bag) have broken for risk of spreading bacteria
 

*Pages to explore for more reading on Perineal Massage
 
Image Source: http://yoniart-dana.blogspot.com/2009/03/birth-art.html





 


Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson Disclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.




Categories: Info Sheet, Information Center, Information Sheet, Informed Consent, Perineum, Planning for Baby, Postpartum, Second Stage Labor

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Reply AAtwqkv
5:21 PM on April 12, 2021 
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