PERINEAL MASSAGE

Perineum is the name given to the area between the vagina and the anus. It is an area of ​​about 2-3 cm in diameter and is the region where tears are most common during normal birth. The purpose of episiotomy performed in some normal births is to prevent tears in the perineum. With episiotomy, a smooth incision can be made as desired and can be repaired properly after birth. However, tears that may occur involuntarily can be irregular and can be very difficult to repair.
What is perineal massage? How is it done?
Massage of the perineum is applied to this area for 5-10 minutes by applying a lubricant (glycerin, almond oil, etc.) and massaging by hand. Massage is done 3-4 days a week. The perineal massage can be done with the help of the mirror itself, but this can be difficult. Therefore, it is preferred that the patient's spouse does it. Massage is started after 34 weeks of pregnancy and continues until delivery. Before doing the massage, hands should be washed thoroughly and the expectant mother should empty her bladder by urinating. If the mother will apply the massage on her own, she should use her thumb. If the patient's wife or someone else is going to apply the massage, they should use the index finger. The finger should enter the vagina no more than 3-4 cm. The finger should move left and right between 3-9 o'clock and stretch the vagina lower wall and perineum. Meanwhile, while the finger is moved left and right, it is slightly pressed down to the anus. There may be slight burning and pain during the procedure. During delivery, perineal massage is applied by the doctor to facilitate the baby's exit by stretching the perineum.
Apart from that, balloon systems that can replace massage by hand have been produced. Similar to hand massage, the small balloon swells and shrinks, allowing the perineum to stretch.
The benefits of perineal massage:
Perineal massage aims to prevent tears that may occur at birth by increasing the flexibility of the tissues and muscles in this area.
To date, experience and research often report that perineal massage can be beneficial especially for mothers who will give birth. The view that there is no benefit in women who have given birth before is dominant.


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