Главная 7 Wellness Blog 7 Perineal Massage During Pregnancy

Perineal Massage During Pregnancy

Contents

Perineal Massage During Pregnancy

Perineal Massage During Pregnancy

Perineal Massage During Pregnancy Helps Prevent Tearing During Delivery

When it comes to perineal massage, this old saying definitely applies: An ounce of prevention is worth a pound of cure. Perineal massage during pregnancy involves the gentle, manual stretching of the tissues that shape the birth canal. The benefits of this ancient practice have been studied by researchers, and there is now strong scientific evidence indicating that when done regularly in the last 3 to 4 weeks of pregnancy, perineal massage increases your chance of delivering a baby vaginally without damaging your perineum, which results in a decreased chance of tearing and episiotomy.

Perineal tears and surgical cuts (episiotomies) require stitching, which can lengthen recovery time after delivery and often cause scarring, pain and urinary or fecal incontinence that can negatively impact your life long after childbirth. The good news is that dedicating just 5 minutes each day during the last several weeks of pregnancy doing perineal massage can prevent trauma to your perineal tissues during childbirth.

Importance of Preparing Your Perineum for Delivery

Your perineum includes the area at the back of your vagina and vulva and goes to your anus and rectum, and includes the back portion of the birth canal. It is the tissues of your perineum that create a strong pelvic floor, and allow you to walk upright and prevent you from urinating every time you cough. Needless to say, it is important that these tissues are intact and strong, but they also need to be flexible enough to stretch during childbirth to allow the baby to move through the birth canal.

Unfortunately, the perineal tissues of many women lack flexibility and aren’t able to stretch during delivery, which results in perineal trauma or tearing. But, just like other types of massage or stretching, perineal massage during the last several weeks of pregnancy can relax and stretch the tissues of your perineum. This gentle massage keeps the perineal tissues flexible and supple, and prepares them to relax and expand naturally during delivery. Perineal massage also allows you to practice breathing through the burning sensation of perineal stretching, which many women say helps them to be more confident and relaxed during labor.

As you approach your 34th week of pregnancy, talk to your midwife or doctor about when you should begin your perineal massage routine. Once you have been given the go ahead from your health care provider, start practicing perineal massage every day for up to 5 minutes until you give birth. You can perform perineal massage on yourself, or you can have your partner do the massage. Regular perineal massage is ideal to promote greater elasticity of the muscles in the perineum, but don’t get discouraged if you miss a day or two- just pick up your routine the next day.

1. Before beginning perineal massage, wash your hands and trim your nails. 2. Find a comfortable position that allows you to reach your perineum, either by reaching your hands in front of you or behind you. For example: a) Sitting propped up in bed with your knees bent; b) squatting against a wall for support with or without the aid of a stack of books or stool; and c) raising one leg such as in the shower or on the toilet. Feel free to use different positions on different days or even change positions during your massage if you become uncomfortable or tired.

Perineal Massage During Pregnancy

3. Pour about a teaspoonful of massage gel onto your fingers and apply it to the perineum, taking care to ensure that your thumbs or fingers are also well-lubricated. Using a massage gel serves two important purposes: it makes the massage more comfortable and also helps hydrate the tissues of the perineum. Avoid using natural oils, like coconut or almond oil, as these products contain oxidative, inflammatory chemicals and are linked to an increase in vaginal infections. Also avoid using water-soluble lubricants because most lubricants have a high salt/ion concentration that causes irritation to vaginal tissues. Instead choose a massage gel that is specifically designed for regular perineal massage, such as BabyIt Perineal Massage and Postpartum Comfort Gel from Fairhaven Health, one of the APA’s corporate sponsors. For best softening and stretching, ensure that you use enough gel to keep your tissues moist throughout the massage – the amount required, and the need to re-apply, will vary for each woman.

4. Perineal massage can be done with either or both thumbs, your index or middle fingers, or two fingers on each hand. Insert your thumbs or fingers about an inch inside the vagina (up to the first knuckle or just past that), resting your palms against your inside leg.

5. The goal is to stretch and massage the back portion of the birth canal, down towards the anus and then apart side to side, using more and more pressure over time. Press gently down with your thumbs or fingers toward the anus, and then pull them apart from each other and out to the sides. Several times during your massage, hold this stretched position and consciously relax your muscles in this region. Keep massaging down and out to stretch and relax these tissues. Pressure should not be painful, but during the first couple of weeks, it is normal to feel a slight burning or stretching sensation. Practicing awareness and breathing when you feel this pressure, will help you feel more in control when you feel these same sensations during delivery!

6. Continue the massage for up to 5 minutes. Reapply massage gel as needed.

7. When performing perineal massage with your partner, sit facing your partner, with your legs draped over the outside of your partner’s legs. Your partner can use the same techniques above, but should use his/her index fingers instead of thumbs.

Visit the myisolove website for complete perineal massage instructions.

Just 5 Minutes of Perineal Massage Per Day Can Produce Life-Long Benefits

Perineal massage will feel awkward, even painful, at first. But, the more you practice, the easier and more comfortable it will become. Just 5 minutes per day during the last several weeks of pregnancy will help relax and stretch your perineal tissues to help prevent perineal trauma or tearing during delivery, and pain and discomfort for the months and years following the birth of your baby.

Похожие статьи

О admin

Оставить комментарий

Этот сайт использует Akismet для борьбы со спамом. Узнайте как обрабатываются ваши данные комментариев.

x

Check Also

Menstruation: A Journey Through Your Cycle, APA

Menstruation: A Journey Through Your Cycle Home / Women's Health / Menstruation: A Journey Through Your Cycle Menstruation is the discharge of blood and tissue from the lining of your uterus that occurs at the beginning of your menstrual cycle.

Best Pregnancy Pillow For Pregnancy (VIDEO) Wellness Blog

Contents 5. Moonlight Slumber Comfort-U Total Body Support Pillow 6. Preggle Chic Jersey XL Extra Long Comfort Air-Flow Body Pillow Discover the Maternity Pregnancy Pillow Pros and Cons! JOIN THE APA NEWSLETTER Maternity Photo Shoot Ideas and Tips   Best Pregnancy Pillow For Pregnancy (VIDEO) W ho could have imagined sleep during pregnancy would become a challenge? Looks like a job for hands down the best pregnancy pillow.

HPV During Pregnancy: Symptoms, Treatment and Prevention

Human Papillomavirus: HPV HPV During Pregnancy: Symptoms, Treatment and Prevention HPV, the Genital Human Papillomavirus, is a viral infection that affects nearly 6,200,000 new individuals each year.

Health – Fitness Archives Wellness Blog

Category - Health & Fitness A great way to bond with your baby during pregnancy is to track your baby's development month by month. Labor and birth are the most anticipated part of a pregnancy.

Comité Asesor Médico

Contents Helpful Information Pregnancy Comité Asesor Médico La se compromete a proporcionar usted con la información más precisa y actualizada relacionada con su embarazo reproductiva, y las necesidades de salud sexual.

Premature Ovarian Failure: Premature Menopause

Contents Is there a difference between Premature Ovarian Failure (POF) and Menopause? What are the Symptoms for Premature Ovarian Failure (POF)? What are my options if I have Premature Ovarian Failure (POF)? Premature Ovarian Failure: Premature Menopause Home / Women's Health / Premature Ovarian Failure: Premature Menopause Approximately 1 in every 1000 women between the ages of 15-29 and 1 in every 100 women between the ages of 30-39 are affected by premature ovarian failure (POF) also called premature menopause.

Labor and Delivery Prenatal Classes (VIDEO), APA Wellness Blog

Contents JOIN THE APA NEWSLETTER Bonding with your Baby: Making the Most of the First Six Weeks   Labor and Delivery Prenatal Classes (VIDEO) This is part two of a three-part Prenatal Classes series by midwife Holliday Tyson.

Fibroid Tumors: Causes, Diagnosis and Treatment

Contents Fibroid Tumors: Causes, Diagnosis and Treatment What are the different types of fibroids in the uterus? What is the health concerns related to uterine fibroids? Fibroid Tumors; Fibroid Uterus Fibroid Tumors: Causes, Diagnosis and Treatment Fibroid tumors are usually undetected non-cancerous masses that grow in the uterus.

Breastfeeding Latch: Proper Positioning

Breastfeeding Latch The most important part of successful breastfeeding is the latch. If your baby is not properly latched on to your breast, feedings could be painful.

Yeast Infections

Yeast Infections A yeast infection occurs when the normal levels of acid and yeast in the vagina are out of balance and cause a very uncomfortable, but not serious, condition called a yeast infection.

Hives During Pregnancy: Causes, Treatment – Prevention

Hives During Pregnancy About 1 in 5 pregnant women experience changes in their skin during pregnancy, including acne, skin darkening, and stretch marks. Although women may feel self-conscious about these new “beauty marks,” skin changes during pregnancy are a normal occurrence.

Genital Herpes

Genital Herpes Genital herpes, also known as herpes simplex virus (HSV), is a viral infection that affects nearly 1,600,000 new individuals each year. Approximately 45 million Americans are currently infected with genital herpes.

Bonding with your Baby: Making the Most of the First Six Weeks Wellness Blog

Bonding with your Baby: Making the Most of the First Six Weeks It doesn’t matter whether you birthed your baby or received that blessing through adoption, it is amazing how many moms hold their newborn baby in their arms and then look up with that puzzled expression on their face and ask the question, now what? The good news is that moms often instinctually know what to do. Most of it is natural, and it comes out of a deep commitment to care and love for that fragile new creation.

Urinary Tract Infection – Causes, Symptoms, and Prevention

Contents What are the signs and symptoms of urinary tract infections? How do I know if I have a urinary tract infection (UTI)? What is the treatment for urinary tract infections? Urinary Tract Infection: Bladder Infection Home / Women's Health / Urinary Tract Infection: Bladder Infection A urinary tract infection (UTI) is a bacterial inflammation in the urinary tract.

Premenstrual Syndrome (PMS), American Pregnancy on PMS

Premenstrual Syndrome (PMS) & Premenstrual Dysphoric Disorder (PMDD) Home / Women's Health / Premenstrual Syndrome (PMS) & Premenstrual Dysphoric Disorder (PMDD) Approximately 85% of women who menstruate report changes in the days or weeks before their menstruation that cause problems that affect their normal lives.

Abnormal Pap Smear

Abnormal Pap Smear Women are encouraged to start getting yearly Pap smears at the age of 21 or within 3 years of becoming sexually active. Pap smears are not diagnostic tests, but they are screening tools used to find any abnormal cells or dysplasia in the cervix.

Donor Milk: Is It Safe?

Donor Milk Breastmilk is the prefect food for your baby, and the best breastmilk is your own. However, if you cannot provide breastmilk, donor milk may be available from your hospital or local milk bank.

Introducing the Bottle to Your Baby: Getting Started

Introducing the Bottle Once breastfeeding is going well, your baby can begin drinking your breast milk from a bottle. You should avoid feeding your baby with a bottle if there are any problems with nursing at your breast, because it can confuse your baby and increase the breastfeeding difficulties.

Tipped Uterus: Tilted Uterus

Tipped Uterus: Tilted Uterus The uterus is the hollow, pear-shaped organ where a developing fetus will grow. The uterus is normally in a straight vertical position.

Gonorrhea

Gonorrhea Gonorrhea is a bacterial infection that affects over 700,000 new individuals each year. The current number of cases is unknown. It is common for individuals infected to not have any symptoms.

Breastfeeding While Pregnant: Safety and Challenges

Breastfeeding While Pregnant Breastfeeding During Pregnancy: Safety and Challenges You may have just started adjusting to breastfeeding only to find out you are pregnant again.

Hepatitis B

Hepatitis B Hepatitis B is a viral infection that affects nearly 73,000 new individuals each year. Approximately 1,250,000 people in the United States are carriers of this disease.

Nutrition During Breastfeeding

Nutrition During Breastfeeding Home / Breastfeeding / Nutrition During Breastfeeding To Breastfeed or Not to Breastfeed? If you are expecting, you are probably giving some thought to how you will feed your bundle of joy once she enters the world.

Ovarian Cancer Resources

Contents What are clinical trials and how can I enroll in one? I’ve been diagnosed with ovarian cancer. Where can I find help & support? Ovarian Cancer Resources If you’ve been diagnosed with ovarian cancer, you probably have a lot of questions.