Common Mistakes Pregnant Women Make With Perineal Massage

As birth approaches, many women look for ways to support a smoother, less traumatic delivery. One of the most talked-about techniques is perineal massage — a gentle stretching of the perineal tissues (the area between the vaginal opening and anus) to prepare for childbirth.

While simple in concept, perineal massage can be challenging for some women and as a result they don’t try the massage, are afraid to continue the massage and don’t get to enjoy the fabulous benefits of perineal massage.

Why Perineal Massage Can Be So Beneficial?

Perineal massage is backed by research as a non-invasive way to help reduce the risk of tearing and or the need for an episiotomy, particularly for first-time mothers. By increasing the flexibility and elasticity of the perineum, it can help women feel more confident and in control during labor.

But to be effective, it must be done correctly — and consistently. Let’s explore the most common mistakes and how to avoid them.

Mistake 1: Starting Too Late in Pregnancy

Many women wait until the last couple of weeks before their due date to begin perineal massage — and by then, it may be too late to reap the full benefits.

Why timing matters: Starting around week 34 / 35 of pregnancy gives the tissues enough time to gradually stretch and adapt. This allows the body to build flexibility slowly and safely in preparation for birth.

Tip: Begin between weeks 34–36 and aim for 3–4 sessions per week.

Mistake 2: Doing It Too Infrequently

Skipping sessions or only doing it occasionally reduces the effectiveness of the technique.

Why consistency matters: Like any soft tissue preparation (think stretching or physiotherapy), regular practice improves tissue response. It’s not about being aggressive — it’s about gentle repetition over time.

Tip: Short, frequent sessions (5–10 minutes) are more effective than rare, intense efforts.

Mistake 3: Using the Wrong Technique

Applying too much pressure, going too deep, or massaging in a hurried, rough way can cause discomfort — or worse, injury.

Why gentle technique is key: The goal is controlled, gentle stretching of the perineal tissue — not deep tissue massage. Think of it as guiding your body to gradually open, not forcing it. You should feel a light to moderate stretch of the area not intense pain.

Tip: Use clean hands, keep nails short, and massage in a U-shaped motion around the lower vaginal wall.

Mistake 4: Using Unsafe Oils or No Lubrication

Some women skip lubrication, while others use scented or synthetic oils that can cause irritation or infections.

Why lubrication matters: Lubrication reduces friction and makes the massage more comfortable. But not all oils are safe for this sensitive area. Knowing if your allergic to an oil or cream and avoid sing t.

Tip: Use natural, unscented oils like vitamin E oil, sweet almond oil, or a water-based personal lubricant. Avoid scented products, baby oil, or petroleum-based substances.

Mistake 5: Treating It Like a Quick Task

Rushing through the massage like it’s another item on the to-do list often defeats its purpose.

Why presence matters: A calm, relaxed body is more responsive. Treating perineal massage as a mindful ritual allows the muscles to release tension more effectively.

Tip: Set aside quiet time, use calming breathing techniques, and create a soothing environment.

Mistake 6: Ignoring Discomfort or Warning Signs

Some women push through pain or discomfort, thinking it's a normal part of the process.

When to be cautious: Mild discomfort is normal at first, but sharp pain, bleeding, or signs of infection are red flags. Continuing despite warning signs can do more harm than good.

Tip: Stop if you feel pain or notice unusual symptoms. Consult a pelvic health physiotherapist or your healthcare provider.

Mistake 7: Not Involving Their Partner (If Comfortable)

Some women struggle with the physical logistics of reaching forwards to the perineal area or feel awkward doing the massage alone — and don't consider asking for help.

Why partner support helps: When done with trust and communication, a partner-assisted massage can feel more accessible and effective. It also deepens connection and makes the process feel less clinical.

Tip: If comfortable, invite your partner to participate. Clear communication ensures comfort and respect.

Mistake 8: Expecting It to Guarantee No Tears

One of the biggest misconceptions is that perineal massage is a silver bullet against tearing.

Reality check: While it reduces the risk, it does not eliminate it. Factors like baby’s size, pushing technique, and birthing position also play a role.

Tip: Combine perineal massage with other strategies — like pelvic floor training, perineal warm compresses during labor, and optimal birthing positions.

How to Get It Right?

To get the most out of perineal massage:

✅ Start between weeks 34–36

✅ Be consistent, not intense

✅ Use safe lubrication

✅ Stay gentle and mindful

✅ Listen to your body

✅ Ask for help if needed

✅ Manage expectations

And most importantly — if you're unsure, don’t hesitate to seek guidance from a pelvic health physiotherapist here at PhysioMatters. Personalised instruction can make a big difference, especially if you have specific concerns or medical history.

Conclusion

Perineal massage can be a powerful and empowering tool in your birth preparation — when done correctly. By avoiding these common mistakes, you set yourself up for the best chance at reaping its full benefits of avoiding a possible perineal tear or episiotomy. We look forwards to seeing you when you’re ready.

Remember, this isn’t just a technique — it’s a moment to connect with your body, prepare for the journey ahead, and take an active role in your birthing experience.

Contact us at PhysioMatters Singapore to know more!

Cheers

Danielle, Xan & Claire

Contact Information

Email: hello@physiomatters.com.sg

Phone: +65 9352 9067

Address: 360 Orchard Road #10-07 International Building, 238869