First make sure you are eating a good diet. This will help maintain healthy tissue. Perineal massage, begun around 32-34 weeks of pregnancy has been shown to help decrease the incidence of tearing and episiotomy with delivery. Wash hands first 2. Put some lubricant on your fingers and on your perineum.
Some recommendations are surgilube, astrglide, unscented massage oil.
The oil-based lubricants can be used on the outside perineal body tissue. 3.If your partner is performing the massage for you, fingers should be placed gently inside the vagina about one to one and a half inches. If you are performing the massage yourself you will need to place you thumbs into the vagina. Press down until a stinging or burning sensation is felt. Hold the pressure for about two minutes until a numb sensation is felt.