Giving birth may be one of the most significant events of any woman's life, and it may also bring up a lot of anxiety and fear, especially around pushing and the possibility of tearing. Whether a natural, physiological birth or an epidural birth is planned; developing body awareness, understanding the relationship between the baby and the pelvis and the role of the pelvic floor ahead of time is essential. In this class I explain how to prepare the perineum prenatally, optimal pushing positions and risk factors for perineum injury.