High Risk Pregnancies
Listed below are factors that can pose a threat to the mother, baby or both and require a written release from the prenatal healthcare provider before receiving massage to maximize safety and avoid legal liabilities.
It is also safe practice to refer clients to a massage therapist with advanced training in Pregnancy Massage.
- Mother’s age is under 20 or over 35
- Complications in previous pregnancies
- Three or more consecutive miscarriages
- Multiple gestation (twin, triplets, etc.)
- Maternal illnesses:
- Diabetes Mellitus
- Chronic Hypertension
- Cardiac and Renal disease or disorders
- Connective tissue disorders
- Liver disease or disorder
- Uterine Abnormalities (fibroids, surgery, etc.)
6. Rh-negative mother or genetic problems
7. Fetal genetic disorder
8. Drug or other hazardous material exposure
Precautions and Contraindications:
- NO ABDOMINAL massage without specialized training
- LEGS AND FEET: Avoid completely if client is on bed rest (clots can form); Avoid percussion in lower legs; Varicose veins – moderate pressure proximal to them ok, over and distal to them use feather-light or no pressure; Avoid acupressure, reflex points, cross-fiber friction, deep tissue and trigger points on feet, lower leg and medial thigh; Avoid these specific points: SP-6, UB-60, KI-3.
- BACK: No cross-fiber friction, deep tissue or trigger point work to Quadratus Lumborum; Work at “Oblique” angle to the back, not perpendicular.
- SHOULDERS, ARMS, NECK AND CHEST: Avoid acupressure points: GB-21, LI-4, TH-15. Use caution working around costal margins (diaphragm).
- GENERAL: Avoid rocking movements with nausea; Avoid hyperextension of all joints; NO circulatory massage with underlying heart conditions; NO DEEP TISSUE work with unregulated diabetes; avoid techniques that detoxify the system; use caution with moist heat application – can increase blood pressure; many essential oils are contraindicated, ALWAYS check for compatibility in pregnancy and dilute.