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RELATED: What You Need to Know About Vaginal Tearing During Childbirth "Perineal massage, or birth canal widening, is a very old practice," says Kecia. Apr 3, - Perineal massage during late pregnancy may encourage elasticity and reduce the risk of tearing during childbirth. The perineum is the area between the vaginal opening and anus. Some women choose to use perineal massage as a way of hopefully reducing their risk of perineal trauma during childbirth.