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4. September 2025

Massage during pregnancy – how to do it and when is it appropriate?

Back pain, swollen feet, fatigue… If you are pregnant, these words probably describe you more often than you would like. You may be asking yourself, “Could massage help me?” The answer is yes, but…

Let’s break it down step by step.

Pregnancy is a wonderful but often challenging time full of physical changes, pain, and tension. Discomforts such as a stiff back, tired legs, neck tension, or insomnia can make everyday moments quite unpleasant. A professionally performed massage for pregnant women can significantly alleviate these symptoms – safely, effectively, and with respect for you and your baby.

Massage during pregnancy: Is it safe?

Yes, most experts consider massage during pregnancy to be generally safe if performed correctly, at the right time, and by an experienced therapist. However, it is crucial to emphasize the importance of an individual approach and the qualifications of the massage therapist. The massage therapist should have specific training in prenatal massage to understand the physiological changes in a pregnant woman’s body and know how to adapt techniques and positions.

Warning: Always consult your gynecologist before your first visit, especially if you have a high-risk pregnancy or any health complications. This step is essential to ensure the safety of both you and your baby.

TIP: Aromatherapy is an excellent complementary relaxation method during pregnancy. There is evidence that certain essential oils can have therapeutic effects that alleviate common pregnancy discomforts and calm anxiety.

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Massages in the second and third trimesters are performed exclusively in the side position for maximum comfort and safety.

Massage during the first trimester of pregnancy (0–12 weeks)

The first trimester is a period when the body undergoes intense changes and adapts to its new condition. Significant hormonal changes occur and the baby’s basic organs are formed. It is recommended to be especially careful during this time.

Deep massage and intense pressure points, especially on the ankles and wrists, are not recommended during the first trimester. Any excessive stimulation, especially in the pelvic and abdominal areas, or pressure on specific acupressure points, could potentially trigger uterine contractions or disrupt the sensitive process of fetal development and implantation. Focus on maximum gentleness and relaxation.

Practical tip: If you need to release tension, consider a very gentle massage of the face or neck, or relaxation techniques without direct pressure on the body, such as breathing exercises or light stretching techniques specifically designed for pregnant women.

Massage in the second trimester (weeks 13–27) and third trimester (weeks 28–40)

The second trimester is considered the ideal time for regular massages. Most morning sickness has subsided and the belly is not yet so large that it significantly restricts movement and positioning. The body has already adapted to pregnancy and the risk of spontaneous miscarriage is significantly lower.

The third trimester brings greater strain on the spine, joints, and legs. The growing uterus changes the body’s center of gravity, leading to increased pressure on the hips and spine. Swelling of the legs and fatigue are common during this period. This is where foot massage during pregnancy or back massage during pregnancy come into play, providing real relief and helping to alleviate these discomforts.

Please note: Massages in the second and third trimesters are performed exclusively in a side position, with the belly and between the legs supported for maximum comfort and safety. Lying on your back could put pressure on the main vein (inferior vena cava), which could restrict blood flow to the baby and cause nausea in the mother.

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Foot massage is very effective for swollen feet, fatigue, and heavy legs, which are common in the second and third trimesters.

What types of massage are suitable for pregnant women?

At our salons, we focus on gentle and safe techniques that are specially adapted to the needs of pregnant women:

  • Prenatal (mamma) massage: This is a gentle and relaxing massage that focuses primarily on the lower back, neck, and legs. It helps relieve common pregnancy pains and tension, promotes relaxation, and improves overall well-being.
  • Back massage during pregnancy: Relieves pressure on the spine caused by a growing belly and changes in posture. It helps to relax stiff muscles in the upper and lower back and promotes healthy blood circulation, which can relieve fatigue and pain.
  • Foot massage: This is particularly beneficial for swollen feet, fatigue, and heavy legs, which are common in the second and third trimesters. Massage stimulates the lymphatic system, helps drain excess fluid, and improves circulation.
  • Facial massage: This massage is safe throughout pregnancy and is excellent for relieving stress and anxiety, especially during difficult days. It helps to release tension in the facial muscles and promotes a feeling of calm and relaxation.

At our Lilawadi salons, we strictly avoid massages that may be unsuitable for pregnant women, such as deep tissue massages, which may be too intense, or lava stone massages, which may overheat the body. We only use oils that are suitable for pregnant women, which are safe and hypoallergenic.

Thai massage during pregnancy: Yes or no?

You may have heard that Thai massage is not suitable during pregnancy. This is not true. It can be very beneficial for pregnant women, but it requires caution and a professional approach.

When is it safe:

  • After the first trimester (after 12 weeks)
  • When performed by a therapist with experience with pregnant women
  • During a normal pregnancy without complications

Benefits for pregnant women:

Thai massage can help relieve back pain, muscle tension, improve circulation, and reduce stress. Many pregnant women report relief from common discomforts such as swollen feet and hip pain.

What to avoid:

  • Strong pressure on the abdomen and lower back
  • Certain acupressure points that can stimulate contractions
  • Deep massage techniques in the abdominal area
  • Positions on the abdomen in late pregnancy

Before undergoing a Thai massage, consult your gynecologist, especially if you have a high-risk pregnancy. Choose a certified salon with therapists trained to work with pregnant women and always inform the therapist about your condition and trimester.

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Facial massage is safe throughout pregnancy and is excellent for relieving stress and anxiety.

Pregnancy and massage: 7 reasons to say YES

Massage during pregnancy brings many physical and mental benefits:

  1. Relaxing tense muscles and reducing pain: Helps relieve back, lower back, neck, and leg pain, which are common during pregnancy.
  2. Supporting healthy blood and lymphatic circulation: Improves circulation, which is key to the health of both mother and baby.
  3. Reduction of swelling: Massage helps reduce swelling in the legs and ankles caused by fluid retention.
  4. Better sleep: The relaxing effect of massage can significantly improve sleep quality, which is often a challenge for pregnant women.
  5. Lower stress and anxiety levels: Touch and relaxation release happiness hormones and reduce stress hormone levels, contributing to overall mental well-being.
  6. Prevention of stretch marks and varicose veins: Improved circulation and skin hydration can help prevent stretch marks and reduce the risk of varicose veins.
  7. Preparing the body for childbirth: Regular massages help relax the pelvic muscles and the body as a whole, which can contribute to a smoother delivery.

When should massage be avoided?

Although massage is generally safe, there are situations when it is better to avoid it or seek medical approval:

  • In case of high-risk pregnancy or bleeding: Any bleeding or indication of a high-risk pregnancy requires immediate consultation with a doctor, and massage is contraindicated in such cases.
  • In case of abdominal pain of unknown origin: If you experience acute or persistent abdominal pain that you are unfamiliar with, seek medical attention immediately. Massage could worsen the condition or mask important symptoms.
  • Unless expressly recommended by your doctor: If you have any health problems or complications, always follow the recommendations of your gynecologist.

Warning: If you are unsure, always seek medical advice first. Safety comes first. Always inform your massage therapist about your health condition and any concerns you may have.

Conclusion: Treat yourself to a loving touch

Pregnancy is not an illness – it is a beautiful time that deserves your attention, rest, and care. Massage for pregnant women is not only about relaxing the body, but also about mental balance and a deep connection with the baby. It is a time when you can treat yourself to some well-deserved rest and focus on yourself and your growing baby.

Are you looking for a safe and professional massage during pregnancy? Make an appointment with us and treat yourself to the care you deserve – for yourself and your baby.

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