Perineal tears affect approximately 80% of women during childbirth worldwide. Thus, perineal management techniques are a necessary need to prevent perineal tears during childbirth. Aim: The current study aimed to examine the effect of perineal massage during the second stage of labor on perineal outcomes. Design: A quasi experimental design was utilized in this study. Setting: The study was conducted in the labor& and delivery unit at Ain Shams Maternity Hospital, Egypt. Sample: A purposive sample of one hundred parturient women divided into study and control groups (50 women in each group) were recruited according to inclusion and exclusion criteria. Tools of data collection: Three tools were used. Tool 1: A structured interviewin g schedule which used to assess demographic characteristics, obstetrics, and antenatal history. Tool 2: V isual analogue scale. Tool 3: Assessment and observational labor outcomes sheet which were used to assess the second stage of labor and perineal conditi on after labor. Results: The results of the present study revealed that women in the study group experienced a low incidence of perineal tears representing 8% as compared with 88% in the control group with a statistically significant difference among both g roups (P ≤ 0.05). Also, 36% of women in the study group had episiotomy as compared with 50% in the control group. Furthermore, improvement in perineum pain intensity after the utilizing perineal massage than before. Conclusion: The study concluded that the use of perineal massage during the second stage of labor was effective in reducing perineal tears, the incidence of episiotomy extension, pain intensity, and the duration of second stage of labor. Recommendations: Increase awareness about the importance of perineal massage to facilitate childbirth and improve maternal outcomes. Moreover, maternity nurses should be trained for perineal massage technique to be apple to apply it in labour unit.