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Didn't do it last time and won't this time. I've read that it can actually weaken your perineum and make it more likely to tear. Now a massage while pushing is a different story, that I'm ok with Best way to avoid tearing is to avoid coached pushing, but if you have an epi that's hard to do since you won't feel the contractions. If you end up without an epi though wait for the urge to push, and try to not push on your back. Push on your side if you have to lay in bed.
Look, I think my body is a pretty cool place and all, and I'm not (that) weirded out at the notion of a baby coming out my vagina, but quite frankly I have no desire to spend any amount of time oiling up my fingers and attempting to stretch things out manually for any regular schedule. Sorry- that's going too far.
And I love the things that I've read that say if you can't reach yourself, have your SO help. Um, that sounds horrific for everyone involved. Pass.
(In my case it wouldn't have mattered since I had a c/s, so I'm double glad I didn't bother!)
I have never done or had hubby do the perineal massage. The nurses that helped delivery babies 2 & 3 did massage while I was pushing. I actually had no idea they did, my mom is the one who noticed it. It helped though! I only had one small tear with baby 2, and no tearing with baby 3. That was a lot better than recovering from a torturous episiotomy like I had with my 1st!