by Valerie Carsey
Pregnancy is both an exciting and challenging time. Prenatal massage can help reduce anxiety and depression, alleviate swelling, ease nausea, relieve pain, improve sleep quality, increase circulation, and oxygenate muscles and tissues. Below are some frequently asked questions to consider when thinking about prenatal massage.
Can I get a prenatal massage in the first 12 weeks of pregnancy?
In general, it is safe to get a massage during the first 12 weeks of pregnancy. Despite common misconceptions, there is no published evidence that massage can cause miscarriage. However, if you have a high-risk pregnancy or a history of miscarriages, it’s advisable to wait until after the first trimester (13 weeks) and consult your doctor before getting a massage. Many massage therapists prefer not to accept new prenatal clients before 13 weeks due to the natural miscarriage risks during early pregnancy, avoiding litigation concerns.
Do you have a pregnancy cushion that allows me to lie face down during my prenatal massage?
Lying face down during the first 12-14 weeks of pregnancy is generally considered safe and typically doesn’t require a pregnancy cushion. However, for those expecting multiples or with a larger fetus, switching to side-lying or semi-reclined positions earlier is the safer option. In the first trimester, some may find lying face down uncomfortable due to nausea or tender breasts, in which case side-lying or semi-reclined positions are recommended.
After 12-14 weeks, lying face down, even with a pregnancy cushion, is not advised. This position can strain the lower back, pelvis, and uterine structures, and increase intrauterine pressure, potentially leading to discomfort or pain.
Why can’t I lie on my back during a prenatal massage?
Lying on your back during pregnancy can increase the weight of the uterus, potentially compressing the aorta (the main artery) and the inferior vena cava (a major vein). This compression can reduce blood flow, potentially harming both the pregnant person and fetus, and may trigger supine hypotension syndrome. Symptoms of this condition include dizziness, weakness, nausea, and shortness of breath due to a drop in blood pressure. Therefore, the safest positions for prenatal massage are semi-reclined, side-lying, or seated.
Is it safe to receive a foot massage while pregnant?
Yes, foot massage is safe and highly beneficial during pregnancy. Although there are certain acupressure and reflexology points on the feet and ankles that are often not recommended to be held for prolonged periods, massaging the feet can help reduce swelling, improve circulation, and relieve discomfort from carrying extra weight. A trained reflexologist or zone therapy professional can still perform point work on the feet while avoiding the points that are not recommended for prolonged stimulation.
Are there areas that should be avoided during prenatal massage?
Yes, there are specific acupressure and reflexology points that are theoretically recommended to avoid during pregnancy until the individual is cleared for labor. These points are thought to have the potential to stimulate labor and are typically avoided until the mother is at term. A certified prenatal massage therapist will be aware of these points and avoid holding them during a session.
- Reflexology Points: Ovary, Pineal gland, Pituitary gland, Thyroid gland, Adrenal gland, Uterus
- Acupressure Points: Urinary Bladder 60, Spleen 6, Kidney 3, Liver 3, Large Intestine 4, Gallbladder 21, Urinary Bladder 31-34
Is it safe to perform abdominal massage during pregnancy?
Abdominal massage during pregnancy is a debated topic. According to the 2012 edition of “Pre and Perinatal Massage Therapy” by Carol Osborne, there is no published evidence that light abdominal massage during the first trimester causes harm. However, due to the higher risk of miscarriage in the first 12 weeks, abdominal massage is not recommended during this period. Abdominal massage is at no time recommended for high-risk pregnancies. Additionally, light abdominal massage may exacerbate nausea, particularly in the first trimester.
Beyond the first trimester, a gentle abdominal massage performed by a trained professional can be a wonderful way to connect with the baby. The strokes should be very light, focusing on the skin and superficial tissues, and should never be deep. If you’re interested in a gentle “belly rub” with potential techniques for stretch mark relief, consult with your therapist about their training.
Why work with a certified prenatal massage therapist?
A certified prenatal massage therapist has undergone specialized training, including both practical and written exams, ensuring they are knowledgeable about the unique needs of pregnant clients. They are trained in the risks of high-risk pregnancies, recognize contraindications, and incorporate techniques like left side-lying positioning with proper draping for comfort and safety.
I have complications with my pregnancy (e.g., geriatric pregnancy, gestational diabetes). Can I still get a massage?
If you have pregnancy complications, your therapist may require approval from your healthcare provider before proceeding. Certified prenatal massage therapists are trained to work with some complications, such as positioning someone with gestational diabetes in a left side-lying position.
Always consult your doctor if you are experiencing:
- High-risk pregnancy
- Pregnancy-induced hypertension (PIH)
- Preeclampsia
- Previous preterm labor
- Severe swelling, high blood pressure, or sudden headaches
- Recently giving birth
For specific concerns, feel free to contact your prenatal massage therapist before your appointment or discuss with them during your massage intake at the start of your appointment.
I have preeclampsia (also known as toxemia). Can I get a massage?
Unfortunately, massage is contraindicated for those with preeclampsia due to the risks involved for both the pregnant person and the fetus. This condition, typically diagnosed later in pregnancy, must be closely monitored by a healthcare provider.
About Valerie
Valerie Carsey, LMT, based in Hillsboro, OR, completed her first Pre- and Postnatal Massage certification class in 2019 at East West College of the Healing Arts, followed by a second class, completing her certification in Prenatal and Postnatal Massage from the Family Massage Education Center in 2020.
edited by AI
Resources
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Osborne, Carole. Pre and Perinatal Massage Therapy, A Comprehensive Guide to Prenatal, Labor, and Postpartum Practice. 2nd Edition. 2012 (27-28, 33-35, 38-40)
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