6 Common Myths About Perineal Massage Every Mum-to-Be Should Know

PhysioMatters
Nov 7
3 min read

Perineal massage is widely recommended to prepare the perineum for childbirth, but it’s often misunderstood. Many mums-to-be feel unsure, embarrassed, or hesitant to try it. Let’s debunk the most common myths and explore the real benefits of this simple, empowering practice.

Why Perineal Massage Is Often Misunderstood?

Misconceptions about perineal massage can stop women from taking a proactive role in their birth preparation. Myths range from it being painful or unnecessary, to thinking it’s only for first-time mums. Understanding the facts can help you feel confident, informed, and in control.

Myth 1: Perineal Massage Is Painful

The truth: It should feel like gentle stretching, not painful.

Start slowly and relax the pelvic muscles.
Use water based or oil based lubricants
Take deep breaths and find a comfortable position.

When done correctly, perineal massage can actually reduce discomfort during delivery.

Myth 2: It’s Only for Women Having Their First Baby

Perineal massage benefits all mums, not just first-time mothers.

Tissues may still tighten after previous births.
Improves elasticity, circulation, and awareness of the perineal area.
Can help reduce the risk of tearing even in subsequent deliveries.

Myth 3: Perineal Massage Guarantees No Tears

No technique can completely prevent tearing.

Perineal massage reduces the risk, but does not eliminate it.
Realistic expectations help you stay empowered and informed.

Myth 4: You Can Only Do It at the Hospital or with a Professional

Perineal massage can safely be done at home:

Guided by physiotherapists initially.
Partners can be involved if you’re comfortable.
Simple routines are easy to incorporate into daily self-care.

Myth 5: It’s Embarrassing or Awkward

Normalising perineal care makes it part of standard birth preparation.
Many couples incorporate it together to strengthen support and communication.
Understanding your body helps reduce fear and anxiety about labour.

Myth 6: Perineal Massage Is Unsafe

It’s safe when done correctly and with clean hands and gentle techniques.
Stop or consult a healthcare provider if you feel discomfort, bleeding, or irritation.
Women’s health physiotherapists can offer personalised guidance.

The Real Benefits of Perineal Massage

Greater flexibility and elasticity of perineal tissues.
Reduced risk of 3rd and 4th degree perineal tears by up to 44% and significantly reduced the incidence of fecal incontinence at three months postpartum (Yin et al., 2024), reduce risk of episiotomies by up to 47% (Chen, Qiu, Fu, and Han, 2014),
Reduced anxiety about childbirth.
Increased confidence and control during labour.
Helps women feel proactive and empowered about their bodies.

Practical Tips for Getting Started

When to begin: Around 35–36 weeks of pregnancy, will be ideal to gain medical clearance from your gynaecologist prior to commencing
Frequency: 2–3 times per week
Positions: Sitting, lying semi-reclined.
Lubricants: water or gel based(check you have no skin allergies to your lubrication)
Signs to stop: Pain, bleeding, or discomfort—seek professional advice if these occur.

Conclusion

Perineal massage is a proactive, empowering step in birth preparation. By understanding the facts, debunking myths, and practising safely, mums-to-be can improve flexibility, confidence, and control during labour. Taking charge of perineal health helps ensure a smoother, more comfortable childbirth experience.

Perineal massage is highly suggested by Women's Health Physiotherapists and is part of our Prep for Birth Package for you! Book in as soon as you're ready.

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