Massage Therapy and Pregnancy

There is a lot of misinformation being spread around about Massage Therapy and it being dangerous to receive massage during the first trimester or at any stage of pregnancy. you may have heard one of the many misconceptions from a friend, relative, in an article you have read on the internet, or even a health professional. Let's set these myths straight.

There are several myths surrounding massage therapy and pregnancy, which can lead to confusion and misinformation. Here are some of the most common myths:

Myth #1: Massage during pregnancy can cause a miscarriage.

This is a common myth that is not true. In fact, massage can be safe and beneficial during pregnancy if done by a licensed and trained professional.

Myth #2: Massage can induce labor.

There is no evidence that massage or pressure to certain pressure points can cause contractions or can be harmful to the baby. 

Myth #3: Pregnancy massage should be avoided during the first trimester.

There is no evidence to suggest that massage during the first trimester is harmful to the baby. However, many massage therapists may choose to avoid providing massage during this time due to the increased risk of spontaneous miscarriage, which has little to do with external factors, and the potential association with receiving therapy and miscarrying shortly after. There is no evidence that Massage Therapy should be avoided during the first trimester. Speak with your regulated health professionals (Physician, RMT, or other professional) to discuss any potential risks.

Myth #4: Deep tissue massage should be avoided during pregnancy.

Deep tissue massage can be safe and beneficial during pregnancy if done by a trained and licensed professional who is experienced in working with pregnant women.

Is there research to support avoiding massage to certain areas during pregnancy?

The the evidence supporting the avoidance of pressure points during pregnancy is limited and largely based on anecdotal reports and traditional beliefs, rather than scientific research. There have been few scientific studies specifically examining the effects of massage on pressure points during pregnancy, and those that have been conducted have generally been small and of low quality.

One study published in the Journal of Perinatal Education in 2008 found that pregnant women who received reflexology massage (which involves applying pressure to specific points on the feet and hands) reported reduced anxiety and increased relaxation, but the study did not specifically examine the effects of pressure points on pregnancy outcomes.

Another study published in the Journal of Obstetric, Gynecologic, and Neonatal Nursing in 2011 found that massage therapy reduced anxiety and depression in pregnant women, but again, the study did not specifically examine the effects of pressure points on pregnancy outcomes.

Overall, while there is some concern that certain pressure points may stimulate contractions or increase the risk of complications during pregnancy, the evidence supporting these claims is limited and largely based on anecdotal reports and traditional beliefs. It is important to consult with a trained and licensed massage therapist, who can provide guidance on safe and effective massage techniques during pregnancy based on individual needs and circumstances.

Why might a Massage Therapist or other health professional continue to spread misconceptions or myths?

There are a number of reasons why health professionals may spread misconceptions or myths including lack of research/accountability, lack of or inadequate/outdated training, their own fear or inexperience in treating pregnancy related symptoms, or fear of litigation if a miscarriage does occur. When you do a search on the internet there is an overwhelming amount of information claiming association but little research backing it up the association. The average person is not versed in reading medical journals and it can be overwhelming trying to understand the jargon. Even in schools research literacy and evidence informed practice, for Massage Therapy schools, was not being introduced until the last 10 years or so.

Each health profession may have their own views as to why certain points may be avoided during pregnancy although there is no evidence to support treating these areas is dangerous. In almost all circumstances it comes down to the therapists professional judgement to include or avoid particular areas during treatment.

Is Massage Therapy safe for all pregnant individuals?

Massage therapy can be a safe and effective form of treatment for many pregnant women. Here are some reasons why:

1. Trained therapists: Professional massage therapists who are trained in prenatal massage techniques understand the unique needs and concerns of pregnant women. They are knowledgeable about the anatomy and physiology of pregnancy and how it affects the body. They are also trained to adjust their techniques to ensure the safety and comfort of their clients.
2. Positioning: During a prenatal massage, a woman is typically positioned on her side or in a semi-reclined position with pillows and supports to ensure proper alignment and comfort. This positioning helps to relieve pressure on the lower back, hips, and other areas that are often affected by pregnancy.
3. Modified pressure: Prenatal massage may used modified pressure, which can help to improve circulation, reduce swelling, and alleviate muscle tension. The therapist will modify pressure based on each individuals health status and medical history.
4. Benefits: Prenatal massage can have many benefits for pregnant women, including reducing stress and anxiety through manipulating the soft tissue and joints, relieving muscle tension and pain, and may impact sleep quality through reducing anxiety, stress , or muscle and joint discomfort. These benefits can help to improve overall health and well-being during pregnancy.

Overall, massage therapy can be a safe and effective way to manage some of the discomforts associated with pregnancy. However, each pregnancy is different and an individuals prior health conditions can increase risks or side effects of treatment. It is best to speak with your therapist so they can perform an assessment to determine if there are any precautions that need to be taken or if any contraindications to treatment are identified.

To book an appointment to discuss your questions and concerns please visit Toronto Integrative Medicines booking site.