Perineal massage is generally recommended to start from around 34 to 35 weeks of pregnancy if comfortable. It can be done daily or every 1 to 2 days and continued up to the birth of the baby. This timing allows the tissue to gradually soften and become more elastic, potentially reducing the risk of perineal tears or the need for an episiotomy during delivery.
Key guidance on when to start perineal massage:
- Begin at about 34 weeks or 35 weeks of pregnancy.
- Perform the massage regularly, typically daily or at least 1-2 times per week.
- Only start if comfortable and without any vaginal infections or complications such as placenta praevia or vaginal herpes.
- Consult with a midwife or healthcare provider if unsure before starting.
This recommendation is supported by various health authorities and research showing benefits in preparation for vaginal birth, especially for first-time mothers.
