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Research on Prenatal Perineal Massage

Labrecque M, Eason E, Marcoux S, Lemieux F, Pinault JJ, Feldman P, Laperriere L. Randomized controlled trial of prevention of perineal trauma by perineal massage during pregnancy. Am J Obstet Gynecol. 1999 Mar;180(3 Pt 1):593-600.

Labrecque M, Eason E, Marcoux S. Randomized trial of perineal massage during pregnancy: perineal symptoms three months after delivery. Am J Obstet Gynecol. 2000 Jan;182(1 Pt 1):76-80.

The abstracts are available on the web http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed (and search for perineal massage). Two other articles would also be of interests:

Johanson R. Perineal massage for prevention of perineal trauma in childbirth. Lancet. 2000 Jan 22;355(9200):250-1. No abstract available.

Eason E, Labrecque M, Wells G, Feldman P. Preventing perineal trauma during childbirth: a systematic review. Obstet Gynecol. 2000 Mar;95(3):464-71.

Br J Obstet Gynaecol 1997 Jul;104(7):787-791
Antenatal perineal massage and subsequent perineal outcomes: a randomised controlled trial.
Shipman MK, Boniface DR, Tefft ME, McCloghry F
Department of Obstetrics and Gynaecology, Watford General Hospital, Hertfordshire, UK.

OBJECTIVE: To study the effects of antenatal perineal massage on subsequent perineal outcomes at delivery.

DESIGN: A randomised, single-blind prospective study.

SETTING: Department of Obstetrics and Gynaecology, Watford General Hospital.

PARTICIPANTS: Eight hundred and sixty-one nulliparous women with singleton pregnancy and fulfilling criteria for entry to the trial between June 1994 and October 1995.

RESULTS: Comparison of the group assigned to massage with the group assigned to no massage showed a reduction of 6.1% in second or third degree tears or episiotomies. This corresponded to tear rates of 75.1% in the no-massage group and 69.0% in the massage group (P = 0.073). There was a corresponding reduction in instrumental deliveries from 40.9% to 34.6% (P = 0.094). After adjustment for mother's age and infant's birthweight these reductions achieved statistical significance (P = 0.024 and P = 0.034, respectively). Analysis by mother's age showed a much larger benefit due to massage in those aged 30 and over and a smaller benefit in those under 30.

CONCLUSION: Antenatal perineal massage appears to have some benefit in reducing second or third degree tears or episiotomies and instrumental deliveries. This effect was stronger in the age group 30 years and above.