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    Antenatal Perineal Massage

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    Farid Nurdiansyah
    Perineal massage during the last few weeks of pregnancy can help reduce perineal trauma during childbirth. Starting between 34-35 weeks of pregnancy, the technique involves gently massaging the perineum 1-2 times per week for up to 5 minutes using lubricant. This appears to work by reducing the need for episiotomies. While it provides benefits for first-time mothers, it does not reduce trauma but may reduce postpartum pain for those with previous vaginal deliveries. The massage should not be done more than 1-2 times weekly and has level 1 evidence supporting its use.

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    Antenatal Perineal Massage

    Uploaded by

    Farid Nurdiansyah
    34 views2 pages
    Perineal massage during the last few weeks of pregnancy can help reduce perineal trauma during childbirth. Starting between 34-35 weeks of pregnancy, the technique involves gently massaging the perineum 1-2 times per week for up to 5 minutes using lubricant. This appears to work by reducing the need for episiotomies. While it provides benefits for first-time mothers, it does not reduce trauma but may reduce postpartum pain for those with previous vaginal deliveries. The massage should not be done more than 1-2 times weekly and has level 1 evidence supporting its use.

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    Antenatal-perineal-massage

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    Perineal massage during the last few weeks of pregnancy can help reduce perineal trauma during childbirth. Starting between 34-35 weeks of pregnancy, the technique involves gently massaging the perineum 1-2 times per week for up to 5 minutes using lubricant. This appears to work by reducing the need for episiotomies. While it provides benefits for first-time mothers, it does not reduce trauma but may reduce postpartum pain for those with previous vaginal deliveries. The massage should not be done more than 1-2 times weekly and has level 1 evidence supporting its use.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    34 views2 pages

    Antenatal Perineal Massage

    Uploaded by

    Farid Nurdiansyah
    Perineal massage during the last few weeks of pregnancy can help reduce perineal trauma during childbirth. Starting between 34-35 weeks of pregnancy, the technique involves gently massaging the perineum 1-2 times per week for up to 5 minutes using lubricant. This appears to work by reducing the need for episiotomies. While it provides benefits for first-time mothers, it does not reduce trauma but may reduce postpartum pain for those with previous vaginal deliveries. The massage should not be done more than 1-2 times weekly and has level 1 evidence supporting its use.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    HANDI

    Making non-drug
    interventions easier
    to find and use

    Antenatal perineal massage:


    reduce perineal injury during childbirth

    Intervention Digital perineal massage from week 34 of pregnancy.

    Indication Women aiming to have a vaginal delivery. The aim is to reduce the incidence (up to 16%)
    of perineal trauma requiring suturing in women who have not had a previous vaginal
    Although current delivery.
    recommendations advise
    avoiding routine episiotomies, It is not clear how this intervention works. The reduction in perineal trauma is mainly due
    to fewer episiotomies. The episiotomy rate for women in Australia having their first baby
    rates of episiotomy vary greatly
    and giving birth vaginally without instruments is around 15% and with instruments the
    around the world, from 1% in
    rate is around 59%.
    Sweden to 80% in Argentina.
    Women who have had a previous vaginal delivery do not experience a reduction in
    birth trauma from perineal massage, but do report less pain at 3 months postpartum.

    Contraindications Perineal massage should not be performed in women:


    • prior to 34 weeks of pregnancy (as this is earlier than has been used in trials)
    • with cervical shortening
    • with placenta praevia or any other condition where there is bleeding from the vagina
    during the second half of pregnancy
    • with severe blood pressure problems in pregnancy
    • with an active vaginal infection (e.g. herpes, thrush).

    Availability The technique is simple and acceptable to most women (see Consumer resources).

    Description Starting at week 34 or 35 of pregnancy, a woman (or her partner) can start
    massaging the perineum 1–2 times per week, with each session lasting for a maximum
    of 5 minutes.
    There are several different techniques of perineal massage. All generally involve
    the insertion of one or two lubricated fingers (or finger and thumb, or both thumbs)
    approximately 5 cm (2 in) into the vagina and applying gentle pressure downward
    (toward the anus) and to the side of the vagina until a very slight tingling or burning
    sensation is felt. The stretch is held for about 2 minutes and then the fingers are
    repositioned (see Consumer resources).
    The massage is performed in a seated, lying or standing position with legs apart –
    whatever feels comfortable for the woman.
    Massage oil (e.g. sweet almond oil) or water-soluble vaginal lubricants
    (e.g. K-Y Jelly) can be used.

    Tips and Challenges Women should be advised that massaging more than 1 to 2 times per week
    does not result in less perineal trauma. More frequent use of perineal massage
    is actually associated with decreased benefits and is not recommended.
    There may be some transient discomfort in the first few weeks of massage,
    but it is generally well accepted by women.

    www.racgp.org.au/handi

    First published: October 2015 Reprinted with permission from The Royal Australian College of General Practitioners.
    HANDI
    Making non-drug
    interventions easier
    to find and use

    Grading NHMRC Level 1 evidence.

    References Beckmann MM, Stock OM. Antenatal perineal massage for reducing perineal
    trauma. Cochrane Database of Systematic Reviews 2013;4:CD005123. doi:
    10.1002/14651858.CD005123.pub3.

    Consumer Resources Royal Brisbane and Women’s Hospital: Antenatal Perineal Massage – preparing your
    body for birth. https://www.health.qld.gov.au/rbwh/docs/ante-peri-massage.pdf

    www.racgp.org.au/handi

    First published: October 2015 Reprinted with permission from The Royal Australian College of General Practitioners.

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