Attend regular prenatal care visits
Discuss tear prevention with your midwife or obstetrician
Practice pelvic floor relaxation during pregnancy
Use perineal massage in the last weeks of pregnancy if approved by your clinician
Stay upright and use positions that reduce pressure on the perineum during labor
Push only when you feel the urge and follow guided pushing instructions
Avoid forceful or prolonged pushing when possible
Use warm compresses on the perineum during the second stage of labor
Choose a controlled, slow delivery of the baby’s head
Communicate with your birth team about your preference for perineal support
Avoid unnecessary interventions when medically appropriate
Keep the perineum supported during crowning
Deliver in a setting with experienced birth support
Follow your clinician’s advice if an episiotomy is considered
Maintain good hydration and overall health during pregnancy