Perineal massage

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lesleynka's picture
Joined: 04/26/11
Posts: 1845
Perineal massage

I am just curious about everyones views on this....

Have you done it? Does it really make a difference? Any special techniques to use? Tricks, etc?

I didn't do it w/ my last 2 & am not sure that I will w/ this one either, but I've just found myself more curious about it this time around....

PAmom2boys's picture
Joined: 04/29/09
Posts: 1494

I think it would be most helpful in a first time mom.

I cant even get my husband to give me a decent foot massage to help get labor going. (We tried last night) I think he has a short attention span. Lol

Joined: 09/29/09
Posts: 1346

Nope! They amount of stretching you would have to do to make it effective would be painful! Your cervix isn't the only part that has to open 10 cm! I think during the delivery though its important. My midwife did a ton of massage and support during the delivery. I walked away with only first degree tears as a first time mom delivering a baby with a head over the 100th percentile.

_Jessicah_'s picture
Joined: 04/21/11
Posts: 1973

I don't really know what this entails exactly but I have heard people mention it and talk about it. I don't know how to do it or if it even works. It'll be good to hear some insight from others. I'm all for education!

lesleynka's picture
Joined: 04/26/11
Posts: 1845

Both of my girls were 8.6. I got 6 stitches from tear & lacerations combined w/ the first. If I remember right I don't think I got any w/ the second. I'm guessing maybe I don't need the massage. =/

_Jessicah_'s picture
Joined: 04/21/11
Posts: 1973

I had bad tearing with Brynna on the inside and out. Nobody ever mentioned to me they were massaging me when she came out but then again they had to use a vacuum to help her since my birth canal was so swollen she had a hard time coming out.

PAmom2boys's picture
Joined: 04/29/09
Posts: 1494

I had an episiotomy the first baby. 2-4 were just skids marks or maybe one small tear in there. I hate the term skid marks ROFL

lesleynka's picture
Joined: 04/26/11
Posts: 1845

I've never heard that term & Ewww! I hate it too! Makes my skin crawl...

DitherDither's picture
Joined: 04/16/09
Posts: 152

I did the massage with DD, and ended up only with a small skid mark (ITA -- such a strange term!). She was 8lbs, 6 oz, so on the bigger side, but not huge. I had had an episiotomy with DS, and made sure to massage the scar tissue.

It's not fun to do....I'lll say that. It actually is uncomfy and a bit painful. The sheet my midwife gives out actually says "this isn't foreplay, but painful stretching when done right." I need to start it soon, but have been putting it off.

It's hard to say if it helped or not...I suppose I'm in the camp of thinking that it can't hurt, so why not. Like Carolyn85 said, it's also impt to have the massage and support during labor, too. My midwife put warm compresses on me in between pushes....amazing pain relief and I think helps you stretch. But then you hear stories like my SIL....did the massages, but LO came out with her hand by her head, and she ended up with a 4th degree tear. Sad

JuneorJulyBaby?'s picture
Joined: 10/20/08
Posts: 2479

I tried it a few times before Nicholas but it was very awkward and I don't think I was doing it right. The dr. did it the entire time I pushed (1 hr 20 min) and I really think I would have had minimal tearing if his shoulder didn't get stuck and they had to do some maneuvering to get Nicholas out of me. I only had a 2nd degree tear from that too. I hope the dr. does it this time around again.

Joined: 10/05/09
Posts: 672

My doc recommends it. She will show me next appointment how. I will likely try it... I am so scared of tearing.

beccasweet's picture
Joined: 04/10/11
Posts: 679

We have been doing it since 34 weeks. My midwife recommended it and since it can't hurt anything I figured why not. I thought it would be hard to talk DH into but after he saw the birth videos in class he agreed easily. It is very uncomfortable when done right but I can already tell the difference between two weeks ago and now.

_Jessicah_'s picture
Joined: 04/21/11
Posts: 1973

So I had to google this as I wasn't sure exactly how it was performed. I must say the pictures alone looked painful. I seriously doubt my DH would do it and I am not sure I want him to! LOL I figured it was performed from the outside but it seems there is alot of stretching and pushing involved just inside as well.

PAmom2boys's picture
Joined: 04/29/09
Posts: 1494

Yep. One of my pregnancy books says it only beneficial for FTM since 2nd time around its already been stretched.

Starryblue702's picture
Joined: 04/06/11
Posts: 5454

Im going to honestly tell you that I never did anything with my first three births. I needed an epesiotomy and tore twice on the inside with my first and had no problems with the next two, but with this baby I wanted to see if doing anything for that area made a difference (that and Im a little bit of a perv as you all know lol!). So we did the massage... and a little more... I don't want this to get too tmi but he stretched me out really well, a little more each time we messed around lol... and this baby came out in one push flawlessly! If you wanna know what he did exactly, watch the movie Chasing Amy!! Anyway... good luck... and have fun lol!

Joined: 10/05/09
Posts: 672

Well well, sounds like I better get started. I am not really excited about it but I guess it can't do any harm. I actually read some studies about perineal massage and they did show that they helped prevent or reduce tears especially with FTM, not so much for subsequent births.