Perineal Massage – Everything you wanted to know about it

Perineal Massage

Perineal Massage and Pregnancy to avoid vaginal and perineal tearing

WHAT IS PERINEAL MASSAGE?

.

Perineal Massage

Perineal massage is a method of preparing the outlet of the birth passage, particularly the perineum, for the stretching and pressure sensations during the birth of your baby. It has been used in different countries and cultures throughout much of human history.

The aim is to avoid trauma to that area; either tears or an episiotomy (a cut made in the perineum to enlarge the outlet). A large study has shown that women experiencing their first vaginal birth, who practice perineal massage from 35 weeks of pregnancy, have a lower risk of serious tearing (requiring stitches) or episiotomy.

Perineal massage will make you more aware of this area and will assist you to relax and open up for your baby’s birth. Women who have consistently performed perineal massage do not report the extremes of stinging and burning that often accompany the birth of baby’s head. Furthermore, perineal massage also decreases the chance of ongoing perineal pain at three months post-delivery.

Perineum Massage – Head Crowing

PERINEUM MASSAGE – RECOMMENDED PRACTICE

It is recommended that antenatal perineal massage be commenced from 35 weeks of pregnancy The benefit is seen when practiced just once or twice per week. Performing perineal massage more frequently than this recommendation may decrease the protective effect.1, 2

You may experience a strong stretching, or burning sensation when you first start massaging, but this should decrease over time.

WHAT SHOULD I DO PRIOR TO PERFORMING PERINEAL MASSAGE?

  • Empty your bladder
  • Wash your hands and find a relaxing place to perform the massage (bathroom, bedroom, or anywhere else you are comfortable)
  • A warm bath or warm compresses on the perineum for 10 minutes prior to the massage may help with relaxation
  • Sit/position yourself comfortably
  • Trim your finger nails or better still wear vinyl gloves
  • Use a mirror to become thoroughly familiar with the vaginal opening and the perineum

Perineal Massage

Perineum Massage

TECHNIQUE

    • Put a water-soluble lubricant, or natural oil like olive oil, on your thumbs and the perineum
    • Place thumbs just inside the vagina to a depth of three to five centimetres
    • Gently press downward towards the rectum and to the sides of the vagina at the same time to stretch the opening, until a very slight burning, stinging, or tingling sensation is felt
    • Work the lubricant in slowly and gently, maintaining the pressure and pulling the perineum forward a little as you sweep your thumbs from side to side of the vagina in a “U” shaped motion for approximately two minutes
    • The massage can be done in one direction at a time i.e. from side to side, or the thumbs can be swept in opposite directions. Try different ways until you find which is more comfortable for you.
    • Focus on relaxed breathing whilst trying to consciously relax the pelvic floor muscles and allowing the tissues to stretch
    • Re-apply your lubricant as needed, for a total Perineal Massage time of at least 5 minutes.

If your partner is assisting you or performing the massage for you, they need to use clean hands and one or two index fingers inside the lower part of the vagina. It is important to tell your partner how much pressure to apply without causing pain.

Perineum Massage

CAUTION

Avoid pressure at the top of the vaginal opening. Massage gently as forceful massage could cause bruising or swelling. Cease massage with any pain or discomfort.

PERINEUM MASSAGE

CONTRA-INDICATIONS

Do not perform perineal massage in the following situations:

  • prior to 34 weeks of pregnancy
  • if you have placenta praevia (a low–lying placenta) or any other condition where there is bleeding from the vagina during the second half of pregnancy
  • if you are suffering from vaginal herpes, thrush or any other vaginal infection, as massage could spread the infection and worsen the condition.
PERINEUM MASSAGE

PELVIC FLOOR EXERCISES

Pelvic floor exercises should be practiced daily throughout pregnancy. This practice will help you to be able to consciously relax the muscles of the pelvic floor, which is exactly what you will do to assist in the birth of your baby. Pelvic floor exercises after birth will help you to re-tone your stretched muscles and tissues.

This article was sourced from http://brochures.mater.org.au/brochures/mater-mothers-hospital/perineal-massage

FOR MORE INFORMATION

Perineal Massage During Pregnancy Helps Prevent Tearing During Delivery

 

Perineal Massage for Pregnancy Instructions

REFERENCES

  1. Beckmann MM, Stock O. Antenatal perineal massage for reducing perineal trauma. Cochrane Database Systematic Review (2013)
  2. Queensland Maternity and Neonatal Clinical Guideline: Perineal Care, Queensland Government (2012)
  3. Jones LE, Marsden N. The application of antenatal perineal massage: a review of literature to determine instruction, dosage and technique. Journal Assoc Charter Physiotherapy Women’s Health (2008); 102: 8-11.
  4. Mei-Dan E, Walfisch A, Raz I, Levy A, Hallak M. Perineal massage during pregnancy: a prospective controlled trial. Isr Med Assoc J. 2008 Jul; 10(7):499-502.
  5. Hallam T, The postnatal patient.
  6. Pamaiahgari P. Antenatal perineal massage. The Joanna Briggs Institute (ND)
  7. This article was sourced from This article was sourced from http://brochures.mater.org.au/brochures/mater-mothers-hospital/perineal-massage

.

BOOK A PERINEAL MASSAGE

BRACKEN RIDGE, NORTH BRISBANE

Aleena – Phone: 0404 449 433

1 Hour – $80

PERINEUM MASSAGE

Perineal Massage for Pregnancy Instructions

Gallery

PERINEAL MASSAGE INSTRUCTIONS Perineal massage is time well spent! Numerous clinical studies point to the benefits of perineal massage during the last several weeks of pregnancy for reducing perineal tearing during delivery and decreasing the incidence of pain during sex … Continue reading

Perineal Massage During Pregnancy Helps Prevent Tearing During Delivery

Gallery

This gallery contains 4 photos.

Perineal Massage during Pregnancy Perineal Massage during Pregnancy helps prevent tearing during delivery 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 … Continue reading

Ladies, Ditch the Bra

Views 119269

Ladies Ditch Bra

Ladies Ditch Bra

Originally published on Fearless Parent

EVIDENCE OF A RELATIONSHIP BETWEEN BRAS AND BREAST CANCER MAY RETHINK THE SOCIETAL CONVENTION OF WEARING BRAS

I realize it may feel some combination of uncomfortable, unprofessional, or unnecessarily provocative. Societal convention has most of us trussing up before going out.

If you are reading this at home, do me a favor and unhook. Then keep reading.

THERE IS SOME EVIDENCE OF A RELATIONSHIP BETWEEN BRAS AND BREAST CANCER

Yes, seriously.

DRESSED TO KILL: The Link Between Breast Cancer and Bras

Sydney Ross Singer and Soma Grismaijer authored a book called Dressed To Kill. They interviewed 4,000+ women in five major U.S. cities over two years. Half the women had been diagnosed with breast cancer. They found:

  • 75% of women who slept in their bras developed breast cancer
  • 1 in 7 who wore their bras 12+ hours per day developed breast cancer
  • 1 in 168 who did not wear a bra developed breast cancer
  • Within one month of ditching their bras, women with cysts, breast pain, or tenderness found their symptoms disappeared.

Ladies Ditch Bra

BREAST SIZE, HANDEDNESS, AND BREAST CANCER RISK

A 1991 article in the European Journal of Cancer found that premenopausal women who do not wear bras had half the risk of breast cancer compared with bra users. The data also suggest that bra cup size (and breast size) may be a risk factor for breast cancer.

Ladies Ditch Bra

CANCER IS NOT A DISEASE

Andreas Moritz revealed that Japanese, Fijians revealed that Japanese, Fijians, and women from other cultures were found to have a significantly higher likelihood of developing breast cancer when they began wearing bras. His book explains how cancer is an adaptive healing mechanism, arguing that people would die more quickly if the body did not form cancer cells.

Ladies Ditch Bra

BRAS AND GIRDLES CAN REDUCE MELATONIN LEVELS

Japanese researchers found they can lower melatonin by 60%. Melatonin has anti-cancer properties. And Spanish researchers wrote about the use of melanonin in breast cancer prevention and treatment.

Ladies Ditch Bra

THERE’S NO DOWNSIDE TO BEING CAUTIOUS

Am I suggesting this scanty fact base offers definitive proof of a causal relationship? No.

Am I suggesting you should be comforted that the National Cancer Institute, the American Cancer Society, and the New York Times all believe it to be bunk? No.

That’s a longer discussion, but it’s sufficient to say that politics and economics create active bedfellows and the absence of a commercial imperative might have something to do with the dearth of research.

Many of us don’t need to wait in order to do something that intuitively seems to make a lot of sense. Frankly, in view of the alarming rate of breast cancer prevalence in this country (12.3% of women) and the growing trend to remove body parts in an attempt to improve our odds, it seems we might be receptive to a bit of behavior modification.

Ladies Ditch Bra

THINGS TO CONSIDER DOING:

GO BRALESS AS MUCH AS POSSIBLE

It actually gets easier. When these muscles and ligaments are forced to bear the weight of our breasts, muscle tone returns. The more you wear a bra, the more you need to wear a bra. Chest muscles and breast ligaments atrophy, which then makes it feel uncomfortable to go braless.

A 15 year French study conducted by Besancon CHU professor Jean-Denis Rouillon found that “medically, phyisiologically, and anatomically, breasts gained no benefit from their weight being supported in a bra.” There was some evidence that eliminating bra use helped ease back pain. He described bra wearing as a “false need.”

Remove your bra when you get home. Don’t wear a bra to bed. And if you’re self-conscious when going out, try wearing camisoles, thicker material, or nipple pads. It does make sense to wear a support bra while exercising.

Ladies Ditch Bra

WEAR LOOSE BRAS IN SOFTER MATERIALS AND AVOID UNDERWIRES

Tight bras and underwires restrict lymphatic drainage, promoting congestion and stagnation of toxic waste materials that are supposed to be flowing out for excretion. Further, the closing of lymphatic vessels reduces the delivery of oxygen and nutrients to the cells.

Michael Schachter, MD, FACAM wrote that bras and tight clothing can impede lymph flow and contribute to the development of breast cancer.

John MacDougall, MD wrote in The Lancet that repeated inflammation from constricting bras are implicated in painful breast cysts and lumps, scar tissue develops, and milk ducts become plugged, all of which is associated with a higher risk of breast cancer.

The metal in underwire bras can create an “Antenna Effect” according to the father of Applied Kinesiology, George Goodheart, DC. Repeated pressing of metal over an acupuncture point can cause longer-term stimulation of neuro-lymphatic reflex points corresponding to the liver, gallbladder, and stomach. “It will likely make her sick; slowly and quietly,” said John Andre, ND, DC.

Here’s a list of no-underwire bras recommended by Donna Eden, Vicki Mathews, and Titanya Dahlin. Donna adds that plastic underwires have the same negative impact as metal underwires.

Ladies Ditch Bra

SLIDE THE WIRES OUT!

There’s no need to toss your expensive underwire bras. If you cut a small opening at one end of the wire, you can manually remove it from each cup. You’ll probably find that your bra supports you nearly as well without them. Oh, and don’t be fooled. They make look like plastic, but they’re actually plastic-coated metal. If you find you still need the support, you can buy and insert plastic wires. Andre explains how.

Ladies Ditch Bra

For additional research on the harms of bras read our articleBreast Cancer Cover-Up Continues or get the bookDressed To Kill: The Link between Breast Cancer and Bras.”


Originally published: 14 July 2014 13:06:54 -0500

Article updated: 10 August 2019

.
.

 

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of GreenMedInfo or its staff.

Ladies Ditch Bra

The Yoniverse Tour Brisbane

Gallery

This gallery contains 1 photo.

YONIVERSE WORKSHOP BRISBANE Yoniverse workshop Brisbane with Elise Savaresse and Bonnie Bliss. On Sunday, I was privileged to experience The Yoniverse Tour workshop by Bonnie Bliss and Elise Savaresse. It was a perfect day of meeting other women, sharing our … Continue reading