Yes, you are welcome here. Current research shows no evidence that massage causes miscarriage. Some facilities or therapists choose not to see clients in the first trimester because this is the time when miscarriage is most likely to occur naturally. Since miscarriage can be a very difficult experience, those therapists prefer to avoid being mistakenly connected to the search for a “why.” Miscarriages in early pregnancy are most often due to chromosomal abnormalities, not from safe massage therapy.

Massage may still be an option, but it’s approached with extra care. If you note anything on your intake form, I’ll adapt your session to keep you comfortable and safe. In some cases, it may be helpful to loop in your OB or midwife so your care team is on the same page.

Because research is still limited, some doctors and therapists take a very cautious approach. There are no universal guidelines, but massage is generally avoided if you’re experiencing active bleeding, nausea/vomiting, or if complications such as placental abruption or preterm labor are present. Ultimately, your comfort and safety of you and baby guide how we proceed.

Many clients like to follow the rhythm of their prenatal check-ups: less frequent early on, then more often as pregnancy progresses. However, there is no set rule. It depends on your comfort, needs, and schedule.

Direct pressure on the abdomen is avoided, and deep, sustained pressure on the legs is used cautiously because of the increased risk of blood clots during pregnancy. Gentle massage of the lower legs, ankles, and feet is safe. While acupressure traditions use specific points in these areas, research has not shown that massage over these points can induce labor. Acupressure may have benefits during active labor, but that is different from a prenatal massage session. Your session is always adapted to your comfort and needs.

As pregnancy progresses, lying flat on your back for long periods can sometimes feel uncomfortable or may affect circulation. To keep you supported, prenatal massage here is done in a side-lying position with plenty of bolsters and pillows, including support so your back isn’t sagging toward the table. I also use a wedge system that allows you to be gently propped up, so you’re reclined instead of lying flat. You won’t stay on the same side the entire time, and you’re always welcome to speak up if you feel like you need to adjust positions. Your body will usually let you know if you need to change positions. The goal is always to keep you and your baby comfortable.