At Mummy’s Physio, perineal massage isn’t just another appointment, it’s your personalised roadmap to a smoother childbirth. Our perineal massage physiotherapist takes the time to understand your body, check your pelvic floor health and demonstrate the exact pressure and positioning you need. Once you have felt that ideal stretch under professional guidance, you’ll be equipped to continue safely at home. This hands‑on approach warms up the tissues between your vagina and anus, bringing extra blood flow and flexibility. Our women’s health physiotherapist will teach you the correct perineal massage technique but will also show you important breathing techniques and ongoing care designed to reduce tearing, build your confidence in your body and help you feeling truly prepared for labour.

Why You Need Perineal Massage during your Pregnancy under the Expert Guidance from our Pelvic Health Physiotherapist in London

A Perineal massage physiotherapy treatment can start from around 34 weeks. The goal of doing perineal massage is to helps to gradually soften and stretch the perineal muscle so they become more elastic and flexible for the childbirth, which significantly lowers the chance of a painful tearing or the need for an episiotomy, especially for first‑time mums.

By boosting blood flow and tissue flexibility, you also give yourself the best chances to reduce perineal pain after birth, as well as a faster wound healing and a smoother, potentially shorter second stage of labour.

During your perineal massage appointment, you will be under the expert supervision of our pelvic health physiotherapist in London, you’ll learn to relax your pelvic floor muscle at the right moment, familiarise yourself with birth sensations and build confidence in your body’s natural abilities. This simple, evidence‑based routine gives you greater control and a gentler recovery once your little one arrives.

Our specialist in perineal massage has prepared a perineal massage tutorial to self-massage further down this page as well as answering all frequent asked questions.

Women’s Health Physiotherapist in London, Specialist in Perineal Massage Treatment Since 2008

Our women’s health physiotherapists have been specialising in perineal massage and pelvic floor rehabilitation across London since 2008. They are all registered to the HCPC and CSP and all have a post‑graduate diploma in women’s health physiotherapy and years of hands‑on experience. Since we opened, we’ve supported thousands of expectant mums in London through every stage of their pregnancy in order to offer women in London the smoothest and less painful pregnancy possible.

We like to work in a holistic manner and to blend evidence‑based techniques with compassionate care. You’ll leave each session feeling informed, empowered and ready to take charge of your birth preparation. Trust our expert team to guide you to every step of the way.

Perineal Massage Physiotherapy Clinic in London, in Clapham , Belgravia and Monument covered by Health Insurance including Bupa, AXA, Cigna, WPA, Healix

We have 4 ideally placed Pelvic physiotherapy clinics around London.

Pelvic health physiotherapy clinic in Clapham offering perineal massage

We have 2 clinics in Clapham, one in Clapham South and one in Clapham Common. Both can be easily reached by public transport. We have a team of pelvic health physiotherapist in both of our clinic ready to support you during your pregnancy and for you postnatal treatments. We also have one osteopath specialised in pregnancy and pelvic floor rehabilitation if you need further treatement. Our clinics in Clapham are welcoming mums living or working in Battersea, Brixton, Balham, Vauxhall, Stockwell, and Wandsworth.

Perineal Massage physiotherapy clinic in Belgravia, Westminster

Our women’s health physiotherapy clinic in Belgravia is based inside the Light Centre which is just a few minutes’ walk from Victoria Station and Sloane Square. In Belgravia we offer specialised perineal massage sessions with our experienced pelvic health physiotherapist. Conveniently located in SW1X, our Belgravia clinic is ideal for mums working or living in Westminster, Chelsea, Knightsbridge, Pimlico, and South Kensington.

Perineal Massage clinic in Monument

Our Clinic is Located in the heart of the City of London, our perineal massage clinic in Monument is perfect for busy mum to be as we can fit our expert pregnancy care around their work schedule. Based at the Light Centre Monument (EC3R 8DU), we are just a few steps from Monument and Bank stations. Our Monument clinic welcomes patients from London Bridge, Tower Hill, Liverpool Street, and surrounding areas, offering a discreet and professional environment for your women’s health physiotherapy sessions.

Perineal Massage physiotherapy covered by BUPA , AXA, CIGNA, WPA, Healix and all major insurance company in London

All our physiotherapy treatment, including our perineal massage, are covered by AXA, BUPA, Cigna, WPA as our pelvic health clinics are registered and recognised by most of the health insurance in London.

Book Your Perineal Massage with a Pelvic Health Physiotherapist in London, Clapham, Belgravia, or Monument

Our experienced pelvic health and women’s health physiotherapists in Clapham, Belgravia, and Monument are here to guide you through every step of your birth preparation. Whether you’re in your third trimester or planning ahead, we’ll help you feel more confident and relaxed for your birth.

Call us now to book your perineal massage session in Clapham, Belgravia, or Monument:
020 7125 0262
07824 553765

Send us a message through our “Callback Form”

Or Book Your Perineal Massage Appointment Online
Use our secure online booking system to choose the best time for you.

Please note: Home visits for perineal massage must be booked by phone

How to do a perineal massage myself, tutorial by our Pelvic health Physio expert in London

Our Pelvic health Physiotherapist specialist tells you How to do a perineal massage yourself during pregnancy to avoid tear or episiotomy during childbirth.

You can easily do your perineal massage on yourself by following these easy steps:

• Start by washing your hands thoroughly and ensuring that your nails are trimmed and smooth in order to avoid any discomfort during the massage.
• Now you can choose a calm place and a comfortable position. For example, you can sit in a warm bath, lie on your bed or as well get into a birthing position to help mentally prepare for labor. From experience, the last one is pretty efficient mentalize to relax during the delivery.
• Place a towel underneath if needed.
• Use a perineal massage oil , an intime gel or a natural, non-irritating vegetable oil like sweet almond oil for example. Avoid coconut oil if you’re prone to yeast infections, as its antimicrobial properties can disrupt your natural balance.
• Locate your perineum, this is the area that you will find between your vagina and your anus.
• Once you found the area, begin by gently massaging the sides of your perineum to bring blood flow and warm up the tissue.
• Once you feel relax and comfortable, you can start to perform the perinal massage by inserting your thumbs about 2 to 4 cm into the vaginal opening aiming toward the back wall in the direction of the rectum.
• Press gently but firmly downward, then move your thumbs outward toward each side in a slow U-shaped motion. This movement helps you to stretch the lower part of the vaginal wall and the perineal tissue.
• Now hold the stretch at the bottom for a few seconds, then repeat the sweeping motion.
• The sensation should feel like a deep stretch. Be aware that tingling or mild burning sensation is normal, but it should, at no time, be painful.
• Continue for around 5 to 10 minutes, focusing on slow and steady movements. Aim to stay below a discomfort level of two out of ten.
• Focus some extra time on the areas of your perineum that might be tighter than some other. Repeat gently the movement on the tight areas just you’re you were working out a knot in a back massage.
• Don’t forget to keep your pelvic floor muscle, your glutes muscle and your whole body relaxed.
• Understanding your breathing is important, use deep, steady breaths to stay calm and connected with your body as you prepare for birth.

After her assessment, our pelvic health physiotherapist will teach you how to do this perineal massage correctly but she will also give you breathing and breathwork techniques to help you relax during your perineal massage but also during your delivery.

FAQ on Perineal Massage and physiotherapy

What is a Perineal Massage?

A Perineal massage is a self‑care routine of gentle stretching and massage of the perineum in order to stretch it and relaxing in preparation for the childbirth. The perineum is the tissue between the vagina and anus. For best efficiency, you should start massaging the perineum around week 34. This technique increases elasticity and blood flow, lowering the risk of tears or episiotomy during the delivery. A guidance from a pelvic health physiotherapist or women’s health physiotherapist ensures correct technique. Perineal massage should be practiced for five to ten minutes every day for the best outcome and to supports a smoother labour and postpartum recovery.

Can I do my perineal massage yourself during my pregnancy to prepare my childbirth

Yes, you can, of course it is important to, first, have an assessment with a women’s health Physiotherapist to make sure everything is ok, then once the pelvic health physio has taught you the correct way to do the perineal massage on you and made you feel the sensation that you need to feel for the massage to be efficient. You can repeat your perineal massage at home whenever you feel comfortable. More you will be aware of your perineum muscle more your delivery will be smooth and more importantly with less risk of tear or episiotomy.

What are the Recommended Interventions to avoid tears and episiotomy during childbirth?

WHO suggests a combination of perineal massage, warm compresses and manual perineal stretching, based on the mother’s preferences.

What are the Perineal Massage Benefits?

Perineal massage reduce the risk of perineal trauma during the delivery and helps the perineal tissues to expand more easily during birth, potentially reducing the need for episiotomy. It also help you feeling more relax during labour.

When shall I start and stop Perineal Massage?

Perineal massage is often recommended to begin between 34 and 35 weeks of pregnancy and to continue until birth.

How often should I do my perineal massage?

Our specialist advise to do your perineal massage once a day or if you are too busy once every two days

Can my Partner be Involved?

The woman’s partner can assist with the massage, especially if reaching the perineum is difficult. We encourage the partner to learn perinal massage as it help bond and to make feel the women care and supported during her pregnancy. Communication is the key, so if you partner is willing to help and support you, learning to massage your perineum is always a good idea.

Importance of High‑Quality Care in pregnancy and perineal massage

Studies show that when you truly trust your pelvic health or women’s health physiotherapist, your body responds more effectively to perineal massage. That confidence helps you fully release tension in the perineum, boosting tissue elasticity and ensuring the deepest possible relaxation for a smoother, more comfortable labour and recovery. That is one of the reason why we only hire passionate and compassionate pelvic floor physiotherapist to treat women in London