A recent study published in The Journal of Maternal-Fetal & Neonatal Medicine evaluated whether perineal massage techniques during vaginal delivery decreases the risk of perineal trauma. This meta-analysis entailed a search from electronic databases – Medline, Prospero, Scopus, ClinicalTrials.gov, Embase, ScienceDirect, and the Cochrane Library, SciELO, from their inception until February 2018 and included all randomized controlled trials (RCTs) comparing the use of perineal massage during labor (intervention group) with a control group (no perineal massage) in women with singleton gestation and cephalic presentation at ≥36 weeks. Trials on perineal massage during antenatal care, before the onset of labor or 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 carried out by a midwife in the second stage of labor, during or between and during pushing time, with the index and middle fingers using a water-soluble lubricant. It was noted that women who received perineal massage during labor had a significantly lower incidence of severe perineal trauma compared to those who did not. Furthermore, the incidence of intact perineum was significantly higher in the perineal massage group and the incidence of episiotomy was significantly lower in the perineal massage group. Therefore the results indicated that perineal massage during labor is associated with a markedly 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.