5 Benefits of Perineal Massage Postpartum

Perineal massage is often recommended to pregnant women as they approach their due date to reduce the risk of tearing during childbirth. But did you know that this practice can also have significant benefits postpartum?

This article explores the benefits of perineal massage postpartum, why it’s a must-try for all new mothers, and how to do it safely and effectively.

What Is Perineal Massage?

Perineal massage is a technique that involves massaging the perineum.

It is often recommended to pregnant women as they approach their due date to reduce the risk of tearing during childbirth.

Perineal massage can also have significant benefits postpartum. It promotes healing, relieves pain and discomfort, and improves scar tissue flexibility.

Does perineal massage help with labor pain and delivery?

By making the perineal tissues more flexible and relaxed, perineal massage may contribute to a smoother delivery.

While some evidence suggests that perineal massage may be beneficial in reducing the likelihood of severe perineal trauma during childbirth, its effectiveness in reducing overall labor pain is not as clear.

Some studies have shown a modest reduction in the risk of painful perineal tears. In contrast, others have not found significant benefits. It’s essential to note that childbirth experiences vary widely between individuals, and many factors can influence labor pain and delivery outcomes.

It’s also essential to explore other pain management techniques during labor, such as breathing exercises, movement, hydrotherapy, and medical pain relief options (e.g., epidural), as these can play a significant role in managing labor pain effectively.

When is the best time to do a perineal massage?

Perineal massage is often recommended during the last few weeks of pregnancy, typically around 34 to 36 weeks. However, it’s essential to consult with your healthcare provider before starting perineal massage to ensure it is safe and appropriate for your specific situation.

The benefits of perineal massage may include:

  • Increased perineal flexibility.
  • Reduced risk of perineal tears during childbirth.
  • Increased awareness and comfort in the perineal area.

If you are considering perineal massage, you must learn the proper technique, use a suitable oil or lubricant, and be gentle and consistent. Always discuss your intentions with your healthcare provider to receive personalized guidance and ensure it aligns with your unique pregnancy and medical history.

The Benefits of Perineal Massage Postpartum

5 Benefits of Perineal Massage Postpartum

Physical Benefits

Promotes Healing

  • It can help speed up healing if you have a perineal tear or episiotomy during childbirth.
  • It increases blood flow to the area, aiding tissue repair and reducing swelling.

Relieves Pain and Discomfort

  • The perineum can be sore and uncomfortable after birth.
  • Regular massage can help alleviate this pain and make sitting, walking, and other activities more comfortable.

Improves Scar Tissue Flexibility

If you have scar tissue from a tear or episiotomy, perineal massage can help improve flexibility and prevent it from becoming too tight or causing discomfort.

Psychological Benefits

Reduces Stress and Anxiety

  • It can be very relaxing and help reduce stress and anxiety levels.
  • It can be particularly beneficial for new mothers dealing with the challenges and changes that come with having a newborn.

Improves Body Awareness

  • It can also help enhance your awareness of your body and how it is healing and changing postpartum.
  • It can help you feel more in tune with your body and more comfortable in it.

How to Perform Perineal Massage Postpartum

Performing perineal massage requires proper technique and gentle handling. Here’s a step-by-step guide on how to do it.


  • Wash your hands thoroughly to maintain hygiene.
  • Find a comfortable and private space to relax and focus on the massage.


  • You can either sit on the edge of a bed or a firm surface or stand with one leg on a stool or the bathtub’s edge.
  • Make sure your back is well-supported and your knees are slightly apart.


Apply a small amount of oil or water-based lubricant (such as vitamin E, almond, or water-soluble lubricant) to your thumbs and the perineal area.

Gently massage and stretch

  • Insert your thumbs into the vagina, pressing downward and toward the anus (in the direction of the rectum).
  • Use your thumbs to massage the lower part of the vaginal opening in a U-shaped motion, applying gentle pressure to stretch the tissues.
  • Gradually and gently massage the sides of the vaginal opening by moving your thumbs outward horizontally.
  • Afterward, you can perform a gentle downward massage towards the anus, still using the U-shaped motion.

Pressure and duration

  • Apply enough pressure to feel a gentle stretch, but avoid causing any pain or discomfort.
  • Continue the massage for about 3-5 minutes or until you feel a slight tingling or burning sensation, indicating the tissues are becoming more flexible.

Be gentle and listen to your body

  • Avoid using excessive force or causing any discomfort.
  • If you experience pain or discomfort, stop the massage and consult with your healthcare provider.


  • Perform the perineal massage once or twice a day, starting around 34 to 36 weeks of pregnancy.
  • Consistency is essential, so try to incorporate it into your daily routine.

What oil to use for perineal massage?

  • The best oil to use for perineal massage is an organic, unscented natural oil.
  • Select an oil that is safe for use during pregnancy and postpartum.
  • Popular choices include coconut oil, olive oil, almond oil, and jojoba oil.
  • Be sure to avoid any fat that has added fragrances or essential oils, as these can be irritating and unsafe for use during pregnancy.
  • Add a few drops of lavender essential oil to your massage oil for extra comfort and relaxation.

How can I find a suitable oil for perineal massage?

Finding a suitable oil for perineal massage is vital to ensure comfort and safety during the massage. Here are some tips to help you find the right oil.

Choose a natural, non-toxic oil

  • Look for raw, pure, and free from harmful additives or chemicals.
  • Standard options include natural vegetable oils like olive, almond, sunflower, or coconut oil.
  • Some people also use vitamin E oil.

Consider allergies and sensitivities

If you have known allergies or sensitivities to certain oils or ingredients, avoid using them for perineal massage.

Before applying it to a larger area, please test a small amount of the oil on a skin patch to check for any adverse reactions.

Odor and texture

  • Some oils may have a strong smell or a consistency that you find unpleasant.
  • Choose an oil you are comfortable with and enjoy using during the massage.

Water-based lubricants

  • If you prefer not to use oils, water-based lubricants can also be used for perineal massage.
  • It is safe to use and can provide the necessary lubrication for the massage.

Talk to your healthcare provider

If you’re unsure about which oil to use or have any specific concerns, consult with your healthcare provider.

They can offer personalized advice and recommendations based on your individual needs and medical history.

Avoid mineral oil

While mineral oil is a joint lubricant, it’s not recommended for perineal massage as it may not be as natural or safe as vegetable-based oils.

Side effects of perineal massage

While perineal massage can be beneficial, it may also have some side effects. Here are some potential side effects.

Discomfort or pain

Perineal massage involves applying pressure and stretching the perineal tissues, which can cause some discomfort or mild pain, especially if not done correctly or if the muscles are tight.


If the massage is performed too vigorously or with insufficient lubrication, it can cause irritation or minor injuries to the delicate perineal skin.


In some cases, perineal massage may cause slight bleeding due to the stretching and manipulation of the tissues.


If proper hygiene is not maintained, there is a small risk of introducing bacteria and causing an infection in the perineal area.

Psychological discomfort

Some individuals may feel embarrassed or uncomfortable during perineal massage, as it involves intimate contact with the genital area.

Frequently Asked Questions

What is perineal massage, and how does it benefit expectant mothers? 

Perineal massage is a technique in which the perineum, the area between the vagina and anus, is gently stretched and massaged to increase flexibility. This practice can help expectant mothers during pregnancy by reducing the risk of perineal tears or episiotomies during childbirth. It promotes blood flow, reduces discomfort, and enhances pelvic floor awareness.

When should I start perineal massage during pregnancy? 

It is recommended to start perineal massage around the 34th week of pregnancy. Beginning at this stage allows enough time for the perineal tissues to become more elastic, reducing the likelihood of tearing during childbirth. However, please consult with your healthcare provider before starting to ensure it’s safe for your specific pregnancy circumstances.

Can perineal massage improve postpartum recovery? 

Yes, perineal massage can contribute to a smoother postpartum recovery. Regular perineal massage during pregnancy can help increase perineal flexibility, which may lead to fewer tears during childbirth. Reduced tears often mean faster healing after delivery, leading to less discomfort and a shorter recovery period for new mothers. Always consult with your healthcare provider before incorporating new practices into your postpartum routine.

My Final Thoughts

In conclusion, embarking on the journey of perineal massage brings many compelling benefits that cannot be overlooked. As we have explored, this ancient practice goes far beyond its association with childbirth preparation, extending its reach to enrich women’s lives in various ways.

From promoting pelvic health and reducing the likelihood of perineal trauma during childbirth to enhancing pleasure and boosting overall well-being, perineal massage is a powerful and versatile tool in the self-care arsenal.

As women, we hold the power to embrace this gentle yet transformative practice, nurturing our bodies and connecting with our femininity on a profound level.