Background: Worldwide, the majority of women experience different degrees of perineal tears during childbirth. Thus, the prevention of perineal tears becomes an urgent need. The Purpose of this study: was to compare the effect of warm compresses versus lubricated massage during the second stage of labor on perineal integrity among primiparous women. Design: A quasi experimental comparative research design was utilized. Setting: The present study was conducted in the obstetrics and gynecology department, at Menoufia University Hospital. Sample: A convenient sample of 150 primiparous women was selected from labor unit in obstetric department at Menoufia university hospital and divided into three groups (two study groups and one control group). Two instruments were used for data collection; Instrument I: A structured interviewing questionnaire. Instrument II: Assessment and observational birth outcome sheet. Results: The results of the present study revealed that perineal tears had significantly reduced among women who used lubricated massage (4%) and warm compresses (12%) compared to the control group (26%). Conclusion and Recommendations:The use of warm compresses and lubricated massage had effectively reduced the degree of perineal tears, the degree of episiotomy extension, and the duration of the second stage of labor compared to the control group.