Episode notes
Perineal massage is often taught as a way to “stretch the tissue” to prevent tearing during birth. But that framing misses what actually matters.
In this solo episode of TMI Tuesdays, Lauren breaks down the evidence on antenatal perineal massage, including what the research says, who it may benefit most, and what it does not guarantee.
We explore why perineal massage works less as a physical stretch and more as a form of nervous system training, how fear and guarding can influence pelvic floor response, and why technique, breath, and safety matter more than force.
You’ll also learn:
when to start perineal massage and how often (based on the evidence)
how to approach it using fingers, a partner, or a pelvic wand
why improper teaching can make it uncomfortable or counterproductive
the real risk profile and when it may not be appropriate
how this approach overlaps with pelvic pain, painful intercourse, and pap test discomfort