Just coming on here to recommend any mamas who don’t know about perineal massages, EPO or Birthing ball to research it & consider it. I’m currently pregnant with my second baby and will be using all again. I did perineal massage, birthing ball, and used evening primrose oil with my first. It is definitely personal preference. But I do believe it helped me during my first delivery. I pushed only 3 times and for less than 2 minutes & that is it. I also had absolutely no tearing whatsoever.