The aim of this study is determine the effect of prineal massage in second stage of delivery on prineal trauma, episiotomy and its outcome in nuliparous women referred to delivery ward of Beasat hospital of Sanandaj. This is a clinical trial. Inclusion criteria: Nuliparity with gestational age 38-42 weeks, singleton, cephalic presentation, without PROM, placenta abruption , cephalo pelvic disproportion, fetal distress, do not have vaginal infections and herpes, do not have kegel exercise and professional sport. Exclusion criteria: failure in progress, fetal distress, getting sedative, getting oxytocin , having operative delivery, being red rush and prineal edema,mother request for disconnect the massage , need to cesarean, shoulder dystocia, occiput posterior, baby more than 4000 gram or below 2500. During second stage of childbirth the researcher put gloves and with two fingers with sterile jell massage area between 3 to 9 point of perineal. After child birth tear of perineal, episiotomy rate will be assessed among two groups.. Perineal pain and its intensity 3, 10 days and 3 months after child birth will be assessed.