Enhancing Childbirth Preparedness with Antenatal Perineal Massage

Natural childbirth is a remarkable and natural process, but it does come with potential risks, particularly to the perineum, where tears or episiotomies can occur. Adequate preparation for childbirth is paramount to minimize these perinatal injuries, ensuring a smoother postpartum recovery for women.

A recent study conducted by Milka W et al. investigates the impact of antenatal perineal massage (APM) on perinatal perineal injuries and the development of postpartum complications, including pelvic pain, dyspareunia, urinary (UI), gas (GI), and fecal incontinence (FI). Their comprehensive analysis of 18 studies describes the benefits of APM, typically administered from 34 weeks of pregnancy until delivery. The findings reveal a significant reduction in the risk of perineal injuries and postpartum pain associated with APM.

Nevertheless, the study also highlights the variability in APM techniques, timing, frequency, patient instruction, and monitoring across different publications. 

In conclusion, APM emerges as a valuable practice for safeguarding the perineum during labor and reducing the risk of postpartum incontinence issues. 

Milka W, Paradowska W, Kołomańska-Bogucka D, Mazur-Bialy AI. Antenatal perineal massage - risk of perineal injuries, pain, urinary incontinence, and dyspereunia - a systematic review. Journal of Gynecology Obstetrics and Human Reproduction. 2023;52(8). https://doi.org/10.1016/j.jogoh.2023.102627