Perineal massage

Perineal massage is the practice of massaging the perineum to make it more flexible in preparation for childbirth. The intention is to attempt to prevent tearing of the perineum during birth, the need for an episiotomy or an instrument (forceps or vacuum extraction) delivery.

Randomized clinical trials of perineal massage have shown its effectiveness in reducing class two and three level tears to be on the order of 5 to 7 percent (over not doing the massage). Thus some consider it of marginal utility.