Attend regular prenatal care and discuss your birth plan with your midwife or obstetrician
Practice perineal massage in the last weeks of pregnancy if your clinician says it is appropriate
Use warm compresses on the perineum during the pushing stage
Push slowly and follow coached breathing and guidance from your birth team
Avoid forceful or prolonged pushing when possible
Change positions during labour to find the most comfortable and effective one
Consider side-lying, hands-and-knees, or upright positions during pushing
Let the baby’s head crown gradually without rushing
Avoid unnecessary episiotomy unless medically needed
Use labor support techniques such as controlled breathing and relaxation
Keep the perineal area supported during delivery if your clinician recommends it
Stay hydrated and follow your care team’s instructions during labour
Discuss options for pain relief that may help you relax and control pushing
Seek prompt medical advice if you have a history of severe tearing or pelvic floor injury