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How Often to Get Prenatal Massage: A Trimester Guide

A pregnant woman receives a prenatal massage for comfort during her trimester.

Let’s be honest: pregnancy can be uncomfortable. As your body changes to make room for your little one, you might experience new aches in your back, hips, and legs that you’ve never felt before. While this is a normal part of the process, you don’t have to simply push through the discomfort. A professional prenatal massage provides targeted relief right where you need it most. It’s a safe, effective way to ease tension and feel more at home in your body. We’ll walk you through how it works, its benefits, and help you decide how often to get prenatal massage.

Key Takeaways

  • Confirm It’s Safe for You First: Always work with a therapist certified in prenatal massage and get the green light from your doctor to ensure every session is safe and supportive for your specific pregnancy journey.
  • Use Massage for Targeted Relief: Think of prenatal massage as a therapeutic tool to manage specific discomforts like backaches, sciatic pain, and swelling, not just as a way to relax.
  • Adapt Your Schedule to Your Trimester: Your body’s needs change as your pregnancy progresses, so plan for more frequent massages—even weekly—in the third trimester to manage discomfort and prepare for labor.

What Is Prenatal Massage?

Pregnancy is an incredible journey, but let’s be honest—it can be tough on your body. From new aches to added stress, you deserve some dedicated time for relief and relaxation. That’s where prenatal massage comes in. It’s a type of massage designed specifically for the changes your body goes through during pregnancy. Think of it as a regular massage’s gentler, more intuitive cousin, focused entirely on supporting you and your baby safely and comfortably. A skilled therapist uses modified techniques to help ease the physical and emotional demands of pregnancy, making it a wonderful way to care for yourself during this special time.

How It Differs from a Regular Massage

So, what makes a prenatal massage different from the deep tissue massage you might have loved before pregnancy? The main differences come down to technique and positioning. Instead of lying on your stomach, you’ll be comfortably supported on your side with pillows and cushions to take all the pressure off your belly and lower back. Your therapist will use gentle, soothing strokes and avoid deep pressure on specific areas, like your legs and abdomen. The focus is on addressing common pregnancy complaints—like a sore back or swollen ankles—in a way that’s completely safe for both you and your baby. It’s all about creating a nurturing experience that adapts to your body’s unique needs at every stage.

Key Benefits for You and Your Baby

Taking time for a prenatal massage does more than just feel good in the moment; it offers some real health benefits that can make your pregnancy journey smoother. Regular sessions can help ease backaches, stiff necks, and leg cramps, which are all too common as your body changes. It’s also a fantastic way to reduce stress and anxiety. Massage encourages your body to release serotonin and dopamine—those wonderful “happy hormones”—which can lift your mood and help you feel more relaxed. And when you’re less stressed, your baby benefits, too. Lowering stress hormones creates a healthier environment for your little one to grow.

When Is It Safe to Start?

One of the most common questions we hear is, “When can I start getting prenatal massages?” Many practitioners recommend waiting until after the first trimester, or around the 12-week mark, simply as a precaution, since the risk of miscarriage is highest during this time. While there isn’t any evidence that a gentle massage from a trained professional causes issues, this is a widely accepted safety standard. The most important thing is to talk to your doctor first to make sure massage is right for you. Once you have their approval, you can confidently book a session with one of our highly trained and experienced Licensed Massage Therapists who specialize in prenatal care.

How Often Should You Get a Prenatal Massage?

One of the most common questions we get is about the right timing and frequency for a prenatal massage. The simple answer is that it depends on where you are in your pregnancy and how you’re feeling. Your body’s needs will change dramatically from one trimester to the next, so your massage schedule should adapt, too. Think of it as a flexible plan that you can adjust along the way. Here’s a general guide to help you figure out a rhythm that works for you.

First Trimester: Safety First

During the first 12 weeks, your body is going through incredible changes. While pregnancy massage is generally safe, most therapists and doctors recommend waiting until the second trimester to begin. The first trimester carries the highest natural risk of miscarriage, and while there’s no evidence linking massage to it, the standard approach is to be extra cautious. This waiting period gives your pregnancy time to establish itself firmly. It’s a great time to research certified therapists and plan for the relaxing sessions to come.

Second Trimester: Finding Your Rhythm

Welcome to the second trimester, often called the “honeymoon phase” of pregnancy! As your energy returns and your baby bump grows, you might start feeling new aches in your back, hips, and shoulders. This is the perfect time to start a regular massage routine. A great schedule to start with is one massage every two to four weeks. This frequency helps manage the physical strains of your changing body and gives you a consistent opportunity to de-stress and connect with yourself before the demands of the third trimester set in.

Third Trimester: Preparing for Arrival

As you approach your due date, you may feel more discomfort, swelling, and fatigue. During the third trimester, increasing your massage frequency can make a world of difference. Many women find that weekly massages from week 36 onward provide significant relief and help prepare their bodies for labor. A skilled therapist can use specific techniques to ease pelvic pain, reduce swelling in your legs and feet, and help you get much-needed rest. It’s a wonderful way to care for yourself during the final stretch.

Listening to Your Body: Customizing Your Schedule

Ultimately, these are just guidelines. The most important rule is to listen to your body. Some women may need more frequent sessions, while others might feel great with a monthly massage. The key is open communication with both your healthcare provider and your certified prenatal massage therapist. They can help you create a personalized plan that addresses your specific needs and concerns. According to the Cleveland Clinic, this collaborative approach ensures you get the most benefit and comfort from every session, helping you feel your best throughout your pregnancy.

How Massage Eases Pregnancy Discomforts

Pregnancy is an incredible journey, but it asks a lot of your body. From shifting joints to added weight, the physical demands can lead to a whole new set of aches and pains. This is where prenatal massage comes in, not as a fleeting indulgence, but as a powerful tool for managing discomfort and supporting your well-being. A therapeutic prenatal massage is specifically designed to adapt to your changing body, providing relief where you need it most. It helps your body handle the many physical and mental changes that come with carrying a child, making the entire process more comfortable and enjoyable. By addressing everything from muscle tension to stress, regular massage can help you feel more connected to and at ease in your body as you prepare for your baby’s arrival. It’s a dedicated time for you to rest, recharge, and focus on your own health, which is one of the best things you can do for your little one.

Soothe Common Aches and Pains

As your baby grows, your center of gravity shifts, putting extra strain on your back, neck, hips, and abdominal muscles. This often leads to persistent aches that can make it hard to get through the day. A full-body prenatal massage is tailored to address these specific issues. A trained therapist can help relieve sciatic nerve pain, ease backaches, and reduce tightness in your hips and legs. It’s a safe and effective way to manage the pain, discomfort, and stress that are so common during pregnancy. By focusing on problem areas, your therapist can help release muscle tension and give you some much-needed relief, allowing you to focus on the joy of your pregnancy.

Reduce Swelling and Ease Tension

Have you noticed your ankles and feet looking a little puffier than usual? That’s edema, or swelling, and it’s caused by reduced circulation and increased pressure on major blood vessels. Pregnancy massage is a fantastic way to combat this. Gentle, deliberate strokes encourage the movement of fluid away from your joints, helping to lessen swelling throughout your body. This process also helps remove metabolic waste carried in the body’s lymph system, which can leave you feeling lighter and more comfortable. Plus, the benefits don’t stop at delivery; postpartum massage can also help your body recover and rebalance after birth, continuing the healing process.

Get Better, More Restful Sleep

A good night’s sleep can feel like a distant memory when you’re pregnant. Between finding a comfortable position and calming a racing mind, getting quality rest is a real challenge. Massage can be a game-changer for your sleep patterns. The calming strokes help soothe the nervous system, which in turn lowers stress hormones and encourages the release of serotonin, a key mood and sleep regulator. Many people find that a prenatal massage helps them sleep more soundly. When you’re able to get the restorative sleep you need, you’ll feel better, have more energy, and move more easily throughout your day.

Prepare Your Body for Labor

As your due date approaches, massage can play a key role in preparing your body for the marathon of childbirth. Regular sessions help keep your muscles toned, flexible, and relaxed, which can be incredibly helpful during labor. It can also help you practice relaxation techniques and become more in tune with your body. Once you reach full term (around 37 weeks), your massage therapist can even begin working on specific points that are thought to help prepare your body for labor. Think of it as part of your birth preparation plan—a way to physically and mentally get ready for the big day.

Your Prenatal Massage Safety Checklist

A prenatal massage can be a wonderful part of your pregnancy journey, but your safety and comfort are the top priorities. Before you book an appointment, it’s important to know what makes a massage safe for you and your baby. Think of this as your personal checklist to ensure you have a relaxing and beneficial experience. Going through these steps will give you peace of mind, so you can fully unwind on the massage table.

Find a Certified Prenatal Therapist

Not all massage therapists are trained to work with pregnant clients. It’s essential to find a therapist who is specifically certified in prenatal massage. This certification means they have advanced training in the anatomical and physiological changes that occur during pregnancy. They understand which techniques are safe, how to position you comfortably, and which areas to avoid. Our dedicated team includes highly experienced therapists trained to provide safe and effective prenatal care, so you can rest assured you’re in skilled hands. Always ask about a therapist’s qualifications before booking your session.

Know When to Talk to Your Doctor

Before you even schedule your first prenatal massage, have a conversation with your doctor or midwife. While massage is safe for most pregnancies, certain conditions require medical clearance. If you have a high-risk pregnancy, high blood pressure (preeclampsia), diabetes, or severe morning sickness, getting your doctor’s approval is a crucial first step. They can advise if massage is appropriate for your specific situation. This quick chat ensures that you and your massage therapist can move forward with confidence, creating a care plan that truly supports your well-being.

Safe and Comfortable Positioning

As your body changes, so do the ways you can comfortably and safely lie down. A certified prenatal therapist will never ask you to lie flat on your back after the first trimester, as this can put pressure on a major blood vessel and reduce blood flow to your baby. Instead, you’ll be positioned on your side with plenty of pillows and cushions for support. This side-lying position keeps your spine aligned, takes pressure off your lower back, and ensures optimal circulation for both you and your baby. A proper prenatal massage setup is designed for maximum comfort and safety.

Red Flags and Warning Signs

Finally, it’s important to listen to your body and know when to postpone a massage. If you experience severe swelling in your hands or face, a sudden spike in blood pressure, or a severe headache, contact your doctor immediately, as these can be signs of preeclampsia. You should also avoid deep tissue work on your legs. During pregnancy, your blood volume increases, and deep pressure on the legs could dislodge a blood clot. A knowledgeable therapist will always avoid this area or use very light, gentle strokes. Your safety is always the priority.

Make the Most of Your Massage

Getting a prenatal massage is a wonderful way to care for yourself during pregnancy, and a little preparation can make the experience even more beneficial. Think of it as a team effort between you, your body, and your therapist. Here’s how you can get the most out of every session, from the moment you book to long after you’ve left the table.

Before Your Appointment

First things first, it’s always a good idea to have a quick chat with your doctor before starting any new wellness routine during pregnancy, including massage. If you have certain health conditions like high blood pressure or diabetes, your doctor can give you the green light and peace of mind. Once you’re cleared, think about what your body needs. Are your hips aching? Is your lower back tight? Come with a few goals in mind, but don’t worry if you’re just looking for general relaxation—that’s a perfect goal, too! Try to arrive a few minutes early to fill out any paperwork without feeling rushed.

During Your Session

Your comfort is our top priority. A prenatal massage is a full-body experience designed to address the unique discomforts of pregnancy. Your session will take place in a quiet, comfortable room, and your therapist will use pillows and bolsters to ensure you’re in a safe and supportive position, usually lying on your side. Don’t be shy about speaking up! Let your therapist know if the pressure is too much or not enough, if you need another pillow, or if anything feels uncomfortable. Our licensed massage therapists are experts in their field and are there to tailor the session completely to you and your body’s needs.

After Your Massage

The bliss doesn’t have to end when your session is over. To extend the benefits, your most important job is to stay hydrated. Drinking plenty of water after your massage helps your body process the work that was done and flush out any metabolic waste that was released from your muscles. Try to keep your schedule light for the rest of the day. Give your body time to soak in the relaxation and physical relief. Rushing off to a stressful activity can undo some of the calm you just cultivated. A gentle walk or a warm bath later in the evening can be a lovely way to round out your self-care.

Creating Your Ideal Massage Plan

Consistency is key to managing pregnancy aches and pains. While a single massage is wonderful, creating a regular schedule can provide cumulative benefits. In the second trimester, a massage every two to four weeks can be a great rhythm for maintenance. As you enter the third trimester and your body is carrying more weight, you might find that increasing the frequency to every one or two weeks helps manage discomfort as you get closer to your due date. The most important thing is to listen to your body and work with your therapist to create a plan that feels right for you.

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Frequently Asked Questions

Will a prenatal massage hurt? Not at all. The entire purpose of a prenatal massage is to provide relief and relaxation, not to cause pain. Your therapist will use gentle to medium pressure that is completely tailored to your comfort level and will check in with you throughout the session. The focus is on soothing sore muscles and easing tension, so you should feel supported and comfortable from start to finish.

What if I need to use the restroom in the middle of my session? This is a completely normal and expected part of pregnancy, so please don’t hesitate for a moment to speak up! Your therapist can pause the session at any time for you to take a break. Your comfort is our main priority, and we want you to feel relaxed without worrying about anything else.

Do I have to get completely undressed? You should only undress to whatever level feels right for you. Your privacy is always protected. You will be securely covered by a sheet and blanket for the entire massage, and your therapist will only uncover the specific area they are working on at that moment. Your body is always respectfully draped.

Can a prenatal massage accidentally start labor? This is a common concern, but a massage from a certified prenatal therapist will not start labor. While there are specific acupressure points that are thought to encourage labor, a trained professional knows to avoid these until you are full-term and have discussed it with your doctor. The focus of a standard prenatal massage is purely on your comfort and relief.

Are there any areas you avoid during a prenatal massage? Yes, a certified therapist is trained to modify the massage for your safety. We avoid deep pressure on your abdomen and legs, as well as certain acupressure points around the ankles and wrists until you’ve reached full term. The techniques we use are specifically designed to be safe and supportive for both you and your baby.

About Sara Albee

View all posts by Sara Albee

Sara Albee is a Licensed Massage Therapist since 2011 and the CEO & Chief Bliss Officer of NOLA Bliss Massage since 2012. She is a Certified Ashiatsu Deepfeet Bar Therapy Instructor (since 2018) and a Certified Master Ashiatsu Deepfeet Bar Therapist. Sara is also an active member of the New Orleans Chamber of Commerce, New Orleans & Company (the city’s official tourism board), and the American Massage Therapy Association.

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