Prenatal massage: a guide for pros

What customers ask, how to win the job, and what to put on your profile.

Offering prenatal massage

Pregnant clients book prenatal massage for relief and a safe, supported session. Your pregnancy training, your doctor-consent process and your clear positioning plan are what build trust and referrals.

What customers ask

  • Is massage safe for me during pregnancy?
  • Do I need my doctor's approval before the session?
  • How do you position me so I am comfortable?
  • Will you press on my belly or on my legs?
  • How do you change the session for each trimester?

How to win the job

  • On the first call, ask about the pregnancy stage, the client's doctor's guidance and any complications or concerns.
  • Explain your pregnancy training, the positions you use and how you avoid pressure on the abdomen.
  • Ask for a doctor's note or clearance when the client's health history calls for it, and keep it on file.
  • Set up supports before the session and explain the positions in plain words.
  • Put the session length, the areas worked on and any travel in the quote, so the client knows what to expect.
  • Give a written list of warning signs that mean the client should stop and call a doctor.

What to put on your profile

  • Your pregnancy massage training and any certifications you hold
  • A list of your prenatal services, such as back and hip work, leg work and comfort sessions
  • The positions you use and the supports you bring to the session
  • Your license number as it appears on your state license, and where it can be verified
  • Your consent and doctor-clearance process, described in plain words

Follow-up that helps the customer

  • Offer a session plan that matches the client's stage of pregnancy
  • Suggest simple rest and posture tips for the days between sessions
  • Offer a check-in after the session to review how the client feels

Licenses and permits

Check your state's massage therapy licensing board for the license that covers paid prenatal massage where you work, since most states require a license for paid massage. Keep your license current, and list your pregnancy training and license details on your profile.

Questions

Do I need a license for prenatal massage?

Most states require a massage therapy license for paid sessions, and prenatal work falls under that. Check your state board before you take paid bookings.

Should I require a doctor's note?

Set a clear policy. Many therapists ask for a doctor's clearance, especially for clients with complications or those in early pregnancy. Write the policy into your intake form.

What should I do if a client feels unwell during a session?

Stop the session, help the client sit or lie on their side, and advise them to contact their doctor or emergency care right away if they have bleeding, severe pain, dizziness or swelling in the face or hands.

About this guide

This national guide is written and checked by infinibell. Rules and conditions differ by place, so local pros are credited on guides for the cities they serve, not on national ones.

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