The trauma to the perineal body is common during vaginal delivery. It is estimated that approximately 80-85% of women have some form of perineal injury during vaginal delivery (sprain or episiotomy) and of these, approximately 70% require repair. This study aims to study and objectively conclude the importance of performing perineal massage as a preventive measure for perineal lacerations and to reduce associated morbidity and mortality.

For this study, a database of 32 patients was made, which was subdivided into 2 groups, a control group of 16 patients who did not undergo perineal massage and a second group of 16 patients who were started. perineal massage from week 34 of gestation.

A higher incidence of laceration was observed in primiparous women, occupying 43.75%, however, a greater occurrence of  laceration is documented in patients who did not start perineal massage (64.28% vs 35.72%), while second- and multi-pregnancy patients present an incidence less than 15.62% respectively.

The most common laceration in the study population was identified, the second degree being the most prevalent (40.62%), of which the group without perineal massage was more affected, with 18.7% in primiparous women without perineal massage, followed by 6.25%, in patients with the same number of deliveries but with perineal massage, in terms of first-degree laceration, a higher incidence is observed in patients without perineal massage (21.87%), however, with the same number of patients with first degree in primiparous women (9.37%). The relative risk for presenting first-degree laceration, after performing perineal massage from week 34 of gestation is 0.5, while for presenting second-degree tears it is 0.6, with a confidence index of 95%, given that the association for both types of tears it is less than one, it is concluded that the factor studied in this case, the application of perineal massage as a protective measure for perineum trauma, is a protective factor

The trauma to the perineal body is common during vaginal delivery. It is estimated that approximately 80-85% of women have some form of perineal injury during vaginal delivery (sprain or episiotomy) and of these, approximately 70% require repair.  The morbidity associated with perineal lacerations is a health problem since it is estimated that more than 91% of women report at least one persistent symptom up to 8 weeks after delivery, these symptoms can include bleeding, bruising, perineal pain , infection, abscess formation, fistulas, dyspareunia and long-term genital prolapse, sexual dysfunction, and urinary and fecal incontinence Perineal massage involves the prevention and reduction of morbidity associated with childbirth. It is indicated to be performed from week 32-34 of gestation in both nulliparous and multiparous women.

Carmen Imma Aquino, Maurizio Guida, Gabriele Saccone, Yuri Cruz, Amerigo Vitagliano, Fulvio Zullo & Vincenzo Berghella. (Agosto 2018). Masaje perineal durante el parto: una sistemática revisión y metanálisis de aleatorizados Pruebas controladas. The Journal of Maternal-Fetal & Neonatal Medicine, 1051-1063.
Beckmann MM, Stock OM. Masaje perineal prenatal para reducir el traumatismo perineal. Cochrane Database Syst Rev 2013.