Perineal massage to prevent tears in childbirth

The best way to add elasticity to the perineum, which is the set of muscles at the base of the pelvis that support the uterus and the bladder and urethral sphincters, is by massage perineal . This massage is necessary so that the entire area has the ability to adapt to the baby's passage to the outs

The best way to add elasticity to the perineum, which is the set of muscles at the base of the pelvis that support the uterus and the bladder and urethral sphincters, is by massage perineal. This massage is necessary so that the entire area has the ability to adapt to the baby's passage to the outside with the least possible risk of suffering a tear or minimize the need to perform an episiotomy.

Massage should be done regularly. It is essential to assess the perineum of the woman by a gynecologist and it is advisable to use oils that facilitate the technique. It can be executed by the same, it is true that, as the weeks go by and the discomfort of the size of the gut, this task is complicated for the woman and although she can still be the one who executes it with the help of a mirror, It is more practical for the couple or a specialist to help you carry it out.

What to keep in mind when performing perineal massage?

To be more effective, it must be done at least six weeks before delivery. The future mother should be constant and use about five or six minutes each day in the massage. The oil of rosehip is the most used, although it is also valid virgin olive oil, never the perfumed ones. It is important that the woman is relaxed, comfortable, has cleaned the area well and does not touch the area of ​​the urethra and clitoris. If you have a wound on your hands or if someone else is going to do it, it is advisable to wear latex gloves. It must be taken into account that the fingers must be well lubricated so that it does not cause discomfort.

How is perineal massage done?

- First, we must make sure we have fingers well lubricated. If it is the woman who is going to do it, the two thumbs are used, if it is another person, the indexes. The fingers are introduced at 2-4 cm and a 'U' is drawn, stretching outwards, stretching the walls of the vagina, firmly, but without pain. Se - You start in the upper part without touching the urethra towards the lower part towards the anus and once there,

you press until you feel a slight burning , you must hold on and learn to relax, it will serve as a training for when in On the day of delivery, the baby's head passes through that point. A - Next, we must draw the 'u' from top to bottom and vice versa until we cover the 5 minutes and go increasing the time each day. The first days you notice the tense muscultarura, but if you practice regularly, little by little, changes will be noticed.Before starting and as the end of the massage, it is convenient to do some preparatory massages. Using oil, massage the outer and inner lips, drawing circles, gently pressing and gently stretching the lips. Always go from bottom to top, dedicate to the massage a few minutes to make the blood preheat the area and prepare it for perineal massage. The expert pelvic floor physiotherapist can indicate the steps to follow in case of doubt.

At birth, relax and channel the pain

The woman must face the birth as calmly and calmly as possible. It is important that you know how to relax, channel the pain and use your breathing as an ally. It's no use having been massaged before, having done pelvic floor toning exercises, knowing what breaths to do at any moment, yes at the moment of truth, can not relax and be aware of what happens at every moment (speaking of natural childbirth) to know when to push, when to relax and when to regain strength. Birth is something natural that will happen equally, but if we have the tools to make it safer, faster, less painful and less traumatic for our body, take advantage of them.

Marián Zamora Saborit

Physiotherapist. Pilates Technician

Psychomotorist in Early Childhood EducationCollaborator of GuiaInfantil.com
Blog by Marián Zamora