Antental perineal massage for reducing perineal trauma

Over 85% of women sustain perineal trauma to some degree during vaginal birth.1 A recent Cochrane Review concludes that antenatal perineal massage reduces the likelihood of perineal trauma and suggests women are given information on how to massage and made aware of the likely benefits.2 60 women were interviewed shortly after giving birth at St Thomas9 Hospital (GSTFT) during May 2010. 60% had received information about antenatal perineal massage, 30% felt they were well informed and 27% said they were actively encouraged by their midwife. 77% were keen to practice perineal massage in future pregnancies. There is a lack of enthusiasm and commitment among some midwives in educating women about antenatal perineal massage. Women need active education and encouragement to enhance confidence and compliance. It is recommended that midwives and obstetricians at GSTFT collectively play a role in promoting antenatal perineal massage. They should all receive training with the aim of educating and following up 100% of women receiving antenatal care at GSTFT. A small investment of resources could lead to fewer repairs of perineal tears and fewer episiotomies leading to a reduction in the associated costs. A reduction in perineal trauma reduces the discomfort experienced by women, encourages comfortable mobilisation and enhances a woman9s emotional and physical wellbeing and her enjoyment of the newborn. Women should be supported and motivated to prepare their bodies to the best of their abilities for pregnancy, childbirth and motherhood. Evidence shows antenatal perineal massage can play an integral role in this preparation.