Do you sit in a warm bath before you start to relax the muscles around the perineum (the perineum is the area between the vagina and the anus)?
Are your hands clean?
Do you have short nails?
If you do a perinal massage yourself, do you use a mirror to see if you are doing it well?
Do you perform a perineal massage in bed or some other place where you feel comfortable?
Did you take a semi-sitting position by leaning on pillows to support your back and bending your knees?
Do you lubricate your fingers before you start the massage?
Do you start a perineal massage by first putting your thumbs into the vagina and pressing lightly towards the anus and the sides of the vagina, for about 1 minute?
Do you gently massage the lower half of the vagina with a U-shaped movement for 2-3 minutes?
Do you repeat the massage 2 to 3 times a day, every day or whenever you can?
Based on your answers, there are several other ways that can help you perform a perineal massage properly. It is important to be relaxed during the massage, so you must find a comfortable place and take a semi-sitting position with a pillow placed behind your back. Apply lubricant to your fingers. You can use vitamin E oil, olive or almond oil. Insert your thumbs about 2 cm into your vagina and gently press down towards the anus and the sides of the vaginal walls. Hold your thumbs in this position for about a minute and then start massaging the lower half of your vagina with U-shaped movements.
Based on your answers, you know a lot about how to properly perform a perineal massage. From the 35th week onwards, you can use perineal massage to reduce the risk of tearing. You should massage the lower half of your vagina for a few minutes, 2 times a day. To relax as much as possible, you can sit in a warm bath before you start. Make sure your nails are short to avoid scratching sensitive tissues in your vagina. If you do perinal massage yourself, you will need a mirror to see if you are doing it well. You can always ask your partner to help you.
Royal College of Obstetricians & Gynecologists, Reducing your risk of perineal tears
https://www.rcog.org.uk/en/patients/tears/reducing-risk/
NCT, How to do perineal massage: a step-by-step guide
https://www.nct.org.uk/pregnancy/worries-and-discomforts/common-discomforts/how-do-perineal-massage-step-step-guide
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jelena mihajlovic
Hi! I’m Jelena Radovanovic. After earning my Phd in General Medicine from the Medical University of Nis, I began a career as a physician in order to pursue my passion for medical science and help treat the people around me. I joined the Medical Center in Nis in 2010 where I gained practical knowledge in real-time situations. In addition to my primary job as a General Practitioner, I’ve worked with nonprofits to help underprivileged patients by providing them with information, services, and assistance.
You can find me on Upwork at: https://www.upwork.com/freelancers/~01d0ef3a1f3aa93918