Does Perineal Massage Really Help During Labor?

As you get closer to your due date, you may hear about perineal massage — a technique said to help your body prepare for birth. It’s natural to wonder: does it actually make a difference?

While research suggests it may help reduce discomfort or tearing for some women, it’s not a guarantee — and it isn’t for everyone. What matters most is understanding what it is, when it’s safe, and how to do it correctly (if your doctor recommends it).

What Is a Perineal Massage?

The perineum is the area between your vagina and anus — the part that stretches most during vaginal birth. A perineal massage is a gentle technique that involves stretching and massaging this area in the final weeks of pregnancy to help improve flexibility and awareness of the sensations that happen during childbirth.

When Should You Start?

If your doctor gives you the go-ahead, you can start around week 34 or 35 of pregnancy, a few times a week for 5–10 minutes.

It’s best to avoid perineal massage if you have:

• Vaginal infections
• A risk of preterm labor
• Bleeding or placenta-related issues

Always get your gynecologist’s approval first.

How Is Perineal Massage Done?

If cleared by your doctor, here’s a gentle way to try it:

• Wash your hands well and find a comfortable, quiet position.
• Use a clean, natural lubricant (like vitamin E or coconut oil).
• Insert your thumbs about 2–3 cm into the vagina.
• Gently press down and outward (like a “U” shape) for a few minutes.
• You may feel mild stretching or burning — stop if there’s pain.

Some partners also help with the massage, but it’s entirely your choice.

What Does Research Say?

Studies, including reviews published in the Cochrane Database, indicate that regular perineal massage in the last 4–6 weeks of pregnancy may reduce the need for stitches or episiotomy in some first-time moms.
However, results vary — and no technique can fully prevent tears. The key is to be consistent, gentle, and medically guided.

Is It Safe for Everyone?

For most low-risk pregnancies, it’s considered safe when done carefully and hygienically. But if you’re unsure or uncomfortable, it’s completely okay to skip it.
There are many ways to prepare for birth — perineal massage is just one option among several.

The Takeaway

Perineal massage isn’t essential, but it can be a mindful way to connect with your body and gently prepare for birth. Talk to your doctor before starting, listen to your body, and remember — every labor experience is unique.