Lubricate your thumbs and the perineal tissues. Use a lubricant such as vitamin E oil, coconut oil, almond oil, or any vegetable oil used for cooking—like olive oil. You may also try a water-soluble jelly, such as K-Y jelly, or your body’s natural vaginal lubricant.
What lubricant can I use for perineal massage?
Put some massage oil on your fingers. (Or you can use a water-soluble vaginal lubricant, such as Astroglide or K-Y Jelly.) Place a thumb or finger about 2 in. (5.1 cm) into your vagina, and use it to gently stretch the wall out to the side.
Can I use lube for perineal massage?
Clean hands and short nails to protect the delicate tissues in your vagina and perineum (RCOG, no date). Unscented lubricant or oils – eg. vitamin E oil, almond or olive (RCOG, no date). Unscented personal lubricant would be fine.
Can I use Vaseline for perineal massage?
Conclusion: The findings showed that the perineal massage with Vaseline in the second stage of labor increases perineal integrity and decreases perineal traumas (episiotomy and tears). So, it seems that the perineal massage could be an effective way to preserve an intact perineum in labor.
How do I know if I am doing perineal massage correctly?
The process is the same, although he may find it easier to use his fingers, rather than his thumbs. After you’ve been doing perineal massage for a few weeks, you may notice the skin and muscles around your vaginal opening becoming looser. This is a great sign that the massage is working.
How do I give my husband a perineal massage?
Your Partner Can Start Gently
Using both hands, your partner should gently insert their index finger and middle finger on either side into the vagina, up to about the second knuckle. Try starting with just the index fingers of each hand and move on to using two fingers once you feel comfortable.
How can I prevent tearing during birth?
Deliver in an upright, nonflat position.
There are a number of delivery positions that might reduce the risk of a vaginal tear during childbirth. Rather than lying down flat during delivery, deliver in an upright position. Your health care provider will help you find a comfortable and safe delivery position.
Can you do perineal massage before 34 weeks?
When you should NOT do it? You should not perform perineal massage in any of the following situations: prior to 34 weeks of pregnancy. if you have placenta praevia (a low–lying placenta) or any other condition where there is bleeding from the vagina during the second half of pregnancy.
Does perineal massage induce labor?
Women who massaged between 1.5-3.4 times per week had an 8% reduced risk of perineal trauma. Interestingly, women who massaged > 3.5 times per week experienced NO benefits and had a longer pushing phase of labor by an average of 10 minutes.
How often should you massage your perineum?
perineal massage is not easy, but preparing your perineum will stretch those muscles and give you the best chance of having a better birth experience. It is recommended to start perineal massage from 34 weeks pregnant, doing it 3-4 times a week, for around 3 or 4 minutes at a time.
Can you feel yourself tear during birth?
Due to the amount of pressure caused by your baby’s head on your perineum, it is unlikely that you will feel any tearing. But everyone’s birth is different and some women may find that they feel a lot of stinging, especially as the head is crowning (when your baby’s head can be seen coming out of the birth canal).
Do you always tear when giving birth?
Only 2% of women endure the most severe form of perineal tearing during birth, involving the vagina, perineum and sometimes the anus. Around 27% of women experience no tearing at all, while 23% have a very minor vaginal tear or graze that often does not require stitches and heals on its own.
Where do they cut for episiotomy?
An episiotomy is a cut (incision) through the area between your vaginal opening and your anus. This area is called the perineum. This procedure is done to make your vaginal opening larger for childbirth.
What should perineal massage feel like?
May will feel a stretch in the muscles around the vagina, this may tingle but should not hurt. If you feel pain during any part of perineal massage, stop and try again another time. Use more oil/lubricant if required to reduce friction. Be firm but gentle.
Can you use coconut oil on your perineum?
Coconut oil for perineal massage
The perineum is the area between your vulva and anus that must stretch during a vaginal birth. Massaging regularly with a moisturizing oil, like coconut oil, may help prevent vaginal tearing.