A new study published in The Journal of Maternal-fetal and Neonatal Medicine evaluated whether perineal massage techniques during vaginal delivery decrease the risk of perineal trauma. This study entailed a search from electronic databases - Medline, Prospero, Scopus, ClinicalTrials.gov, Embase, ScienceDirect, the Cochrane Libraryand SciELO, from their inception until February 2018. All randomized controlled trials (RCTs) comparing the use of perineal massage during labor (intervention group) to no perineal massage (control group) in women with singleton gestation and cephalic presentation at ≥36 weeks, undergoing spontaneous vaginal delivery, were included. Trials on perineal massage during antenatal care, before the onset of labor only in the early part of the first stage, were excluded. Overall, nine trials including 3,374 women were analyzed. The findings revealed that perineal massage was usually done by a midwife in the second stage of labor with the index and middle fingers using a water-soluble lubricant. Women who received perineal massage during labor had a markedly lower incidence of severe perineal trauma, compared to those who did not. Additionally, the incidence of episiotomy was significantly lower in the perineal massage group. Hence, the results indicated that perineal massage during labor is associated with significantly lower risk of severe perineal trauma, such as third and fourth degree lacerations. Perineal massage was usually done by a midwife in the second stage, during or between and during pushing time, with the index and middle fingers, using a water-soluble lubricant.