Methods
We surveyed midwives working in seven delivery suites and birth centres in four Australian states to ascertain their views and practices in the second stage of labour.14 In relation to perineal massage in labour, 81 (43%) of 189 midwives were undecided as to its value, 36 (19%) did not agree with the practice, and 23 (12%) did not feel competent to perform it This information helped to identify potential barriers and educational needs of midwives who would participate in the trial, conduct the massage, and document outcomes.