A new study published in the Journal of Gynecology, Obstetrics, and Human Reproduction analyzed all interventions during pregnancy and childbirth that might prevent obstetric anal sphincter injuries (OASIS) and postnatal pelvic floor symptoms. Based on the results and in accordance with the methods prescribed by the French Health Authority (HAS), a set of guidelines were developed, some of which are as follows: A prenatal clinical examination of the perineum is recommended for women with a history of Crohns disease, OASIS, genital mutilation, or perianal lesions. Post-delivery, a perineal examination is recommended to check for OASIS. Furthermore, perineal massage during pregnancy must be encouraged among women, and their consent should be taken before implementing it. However, no intervention conducted before the start of the active phase of the second stage of labor has been shown to be effective in reducing the risk of perineal injury. The performance of an episiotomy during normal deliveries is not recommended to reduce the risk of OASIS. The indication for episiotomy should be explained to the woman and she should consent before its performance. It was also stated that during pregnancy and again in the labor room, obstetrics professionals should focus on the womans expectations and inform her about the modes of delivery.