Prenatal Massage - What mom should know

Body Massage

May 5, 2025

prenatal massage at Reflexology Plus

Pregnancy has its glow...and its grind. Swollen ankles at the end of the day. A back that seems to protest every time you shift positions. Sleep that comes in short bursts. The emotional highs and lows that arrive without warning. All of this is part of carrying new life, and while beautiful, it isn’t always comfortable.

That’s where prenatal massage comes in. This specialized approach to bodywork is designed for moms-to-be, helping ease discomfort, calm the nervous system, and create space for rest during a time when the body is working harder than ever. At Reflexology Plus, our therapists are trained in safe, pregnancy-specific techniques so you can enjoy the benefits without worry.

What Is Prenatal Massage?

Prenatal massage is therapeutic bodywork tailored specifically to the needs of pregnant women. The techniques are adapted to account for the body’s changes — from the growing belly to joint laxity and muscle sensitivity. Instead of lying face-down or flat on the back, moms are positioned on their sides with supportive pillows or placed in a semi-reclined position to ensure comfort and safety.

While the strokes may resemble Swedish or therapeutic massage, the pace and pressure are adjusted. Certain areas, like the lower legs, abdomen, and specific pressure points, are treated with extra care. The goal isn’t just relaxation — it’s pain relief, improved circulation, and nervous system support during one of life’s biggest transitions.

Why Prenatal Massage Matters

Pregnancy alters the body in dramatic ways. Weight shifts forward, ligaments loosen due to hormonal changes, and organs are pushed aside to make room for the baby. These natural adjustments can create muscular tension, nerve compression, and fluid retention. A skilled massage therapist helps address these changes in real time.

According to the American Pregnancy Association, prenatal massage may reduce anxiety, decrease symptoms of depression, relieve muscle aches, and improve labor outcomes when performed by trained professionals [source: American Pregnancy Association, 2023].

Benefits of Prenatal Massage

1. Relief from Back and Hip Pain

As the belly grows, the center of gravity changes. This often strains the lumbar spine, sacrum, and hips. Massage loosens tight muscles like the glutes, piriformis, and paraspinals, giving immediate relief.

Real-world example: many pregnant women notice that long car rides or sitting at a desk quickly trigger low-back pain. Prenatal massage helps undo that cumulative stress.

2. Reduction in Swelling (Edema)

Fluid retention is common, especially in the ankles, feet, and hands. Gentle massage helps encourage circulation and lymphatic drainage, reducing the “puffy” feeling that can make shoes uncomfortable by the end of the day.

A study in the Journal of Bodywork and Movement Therapies found that massage therapy significantly reduced leg edema in pregnant women when performed regularly [source: Field et al., 2012].

3. Stress and Anxiety Relief

Pregnancy brings joy, but also uncertainty and hormonal swings that can heighten stress. Massage activates the parasympathetic nervous system, promoting calmness and reducing stress hormones like cortisol.

Lower stress levels are not just good for mom — they support the baby’s development as well. Research from the Touch Research Institute at the University of Miami showed that massage therapy during pregnancy decreased maternal anxiety and improved neonatal outcomes [source: Field, 2010].

4. Better Sleep

By the third trimester, many women struggle to get a full night’s rest due to discomfort, restless legs, or frequent bathroom trips. Massage promotes serotonin release, which helps regulate sleep cycles. Even short naps after a session tend to feel deeper and more restorative.

5. Hormonal Support

Studies suggest that prenatal massage helps stabilize hormones like dopamine and serotonin, which contribute to improved mood and decreased depression [source: Field, 2010]. More balanced hormones mean fewer mood swings and an overall sense of emotional steadiness.

Safety Considerations

Prenatal massage is generally considered safe after the first trimester, but a few guidelines are essential:

  • Always check with your OB-GYN or midwife first. Especially if you have high-risk pregnancy factors such as preeclampsia, gestational diabetes, or a history of preterm labor.
  • Avoid certain areas. Deep abdominal work and strong pressure on specific acupressure points (like the inner ankle) should be avoided.
  • Positioning matters. After the first trimester, lying flat on your back for long periods is discouraged because it can restrict blood flow. Side-lying or semi-reclined positions are safest.
  • Seek a trained therapist. Not every massage therapist is certified or comfortable working with pregnant clients. Look for someone with prenatal training.

At Reflexology Plus, we follow strict safety protocols:

  • Only pregnancy-safe techniques are used.
  • Clients are always supported with pillows for comfort.
  • Therapists avoid risky pressure points and follow trimester-specific guidelines.

When to Schedule a Prenatal Massage

There’s no single “right” schedule, but here are some common patterns:

  • Second Trimester (weeks 13–27): Many women start monthly sessions as their bodies begin to noticeably change.
  • Third Trimester (weeks 28–40): Discomfort often increases, so biweekly or even weekly sessions can provide consistent relief.
  • Special situations: If swelling, insomnia, or pain are interfering with daily life, more frequent appointments may be worth considering.

Some moms choose to continue massage right up to delivery (with their doctor’s approval), using it as part of their preparation for labor.

What to Expect During a Session

Your first prenatal massage may feel different from traditional massage, but in a good way. Here’s a typical flow:

  1. Consultation – The therapist reviews your stage of pregnancy, any risk factors, and areas of discomfort.
  2. Positioning – You’ll be placed in a side-lying or semi-reclined position, propped up with supportive pillows.
  3. Gentle Warm-up – The session usually begins with long, flowing strokes to encourage relaxation.
  4. Targeted Work – Focus shifts to problem areas like the lower back, hips, shoulders, or feet.
  5. Finishing Touch – Sessions often close with soothing work around the scalp, neck, and hands to calm the nervous system.

Every session is tailored — no two moms have the same needs.

Prenatal Massage and Labor Preparation

Some women use prenatal massage as part of their birth preparation. While massage does not induce labor, it can reduce tension in the pelvic floor and hips, creating more flexibility and comfort leading up to delivery.

A randomized controlled trial published in the Journal of Psychosomatic Obstetrics & Gynecology showed that women who received regular massage therapy during pregnancy had shorter labors and fewer complications [source: Field et al., 1999].

Postpartum Benefits

The journey doesn’t end at delivery. Massage after birth can:

  • Ease muscular soreness from labor and delivery.
  • Support hormonal balancing in the weeks after giving birth.
  • Relieve tension from breastfeeding postures and carrying a newborn.
  • Provide much-needed relaxation during a physically and emotionally intense period.

Scheduling postpartum massage helps new mothers recover and regain energy. Learn more about massage sessions here: Signature Massage

Final Thoughts

Prenatal massage is more than a luxury — it’s a vital form of self-care during pregnancy. From easing pain and swelling to improving mood and sleep, the benefits ripple out to both mother and baby.

If you’re considering booking, remember: check with your healthcare provider first, choose a therapist trained in prenatal techniques, and listen to your body.

At Reflexology Plus, we’re here to support moms-to-be through every stage of pregnancy with safe, compassionate care. Whether it’s your first massage during pregnancy or part of your regular wellness routine, our goal is to help you feel more comfortable, centered, and cared for as you prepare to welcome new life.