Does perineal massage reduce tearing during birth?
A few minutes a day from 35 weeks can lower the chance of tearing — especially with a first baby.
Medically reviewed by Dr. Christopher Sterling, obstetrician ·
The short answer
Yes, for many people. Research shows that perineal massage in the last weeks of pregnancy — the RCOG suggests daily from 35 weeks — reduces the likelihood of tears that need stitches and of episiotomy, particularly for a first vaginal birth.
Why it matters
Gently stretching the perineum — the skin between the vagina and anus — in the weeks before birth helps it stretch more easily during delivery.
A Cochrane review found antenatal perineal massage reduces perineal trauma needing stitches, with the clearest benefit for people giving birth vaginally for the first time.
What to do
- Start from about 35 weeks and repeat daily, or whenever you can, for a few minutes.
- Use a plain, unscented oil and clean hands (a partner can help).
- Ask your midwife to explain the technique.
- Skip it if you have vaginal infection, bleeding or have been told not to.
Common questions
When should I start perineal massage?
The RCOG suggests from 35 weeks until your baby is born. It can take a couple of weeks of daily massage before you notice a difference.
Sources
- RCOG — Reducing your risk of perineal tears
- NHS — Episiotomy and perineal tears
- Cochrane — Antenatal perineal massage for reducing perineal trauma
Medically reviewed by Dr. Christopher Sterling, obstetrician, on against the sources above. Guidance can differ between countries — always follow the advice of your own midwife, doctor or pharmacist. Medical disclaimer.
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