Looking after yourself and your baby

Perineal massage

From about 35 weeks you can start preparing for your labour and birth with perineal massage.

Research has shown that massaging the perineum during late pregnancy may encourage elasticity and reduce the risk of tearing during childbirth.

Where is my perineum?

The perineum is the area between the vaginal opening and anus. Some women choose to use perineal massage as a way of (hopefully) reducing their risk of perineal trauma during childbirth.

Female anatomy showing the perineum’s position and the three openings – the urethra, vagina and anus (or back passage). The perineum is the firm area of skin located directly between the vagina and the anus.

When can I start perineal massage?

You can start massage from about 35 weeks and perform no more than three times per fortnight.

How should I do perineal massage?

Female anatomy showing how to do perineal massage. Two thumbs are inserted into the vagina sweeping in a downward and side to side motion.

  1. Gently insert thumbs or 1-2 fingers, 3-5 cm into the vagina, and firmly sweep in a downward and side to side motion for five minutes, using a natural oil for lubrication, (Avoid nut-based oils if known allergies. Do not use baby oil, mineral oil or petroleum jelly).
  2. You may feel a burning sensation which will diminish over time.
  3. Do not massage if you have active genital herpes or a vaginal infection present.
  4. Most women consider their partner’s involvement as positive.

Ask your doctor or midwife for more information.

In this guide:

  1. Healthy eating during pregnancy
  2. How much weight should I gain?
  3. Food Safety in pregnancy
  4. Exercise during pregnancy
  5. Perineal massage
  6. Medications, alcohol, and smoking during pregnancy
  7. Vaccinations during pregnancy
  8. Infections and precautions in pregnancy

Print entire guide