Prenatal massage: what to know

What the job involves, what changes the price, and what to ask a pro.

What prenatal massage is

A massage therapist trained in pregnancy uses supported positions and gentle techniques to ease back pain, swelling, leg tension and other discomfort during pregnancy. The session is adjusted for each trimester and for any doctor's advice you have been given.

Signs you need it

  • Your lower back, hips or legs ache as your pregnancy progresses
  • You want relief from tension in the neck, shoulders or upper back
  • You want a calm session in a pregnancy-safe position
  • Your doctor has said that massage is a good option for you
  • You want a therapist who has specific training in pregnancy massage

What the pro does

  • Asks about your pregnancy stage, your doctor's guidance, any complications and your comfort
  • Sets up the table with pillows and supports so you can lie on your side or sit in a supported position
  • Avoids pressure on the abdomen and works on the back, hips, legs and feet with gentle pressure
  • Checks your comfort often and changes the position or pressure as needed
  • Watches for any signs that you should stop and ask for medical advice
  • Gives you simple tips for rest, stretching and posture at home

What changes the price

Every job is different, so we do not publish prices. These are the things that move the quote up or down.

  • The length of the session and the areas worked on
  • The therapist's specific training in pregnancy massage
  • Whether the session is at a clinic, a spa, a home or a mobile visit
  • Whether a consultation is needed to review your pregnancy and any concerns
  • Whether add-ons such as extra leg work or a foot treatment are included
  • How far along you are and whether the session needs extra support

What a written quote should spell out

  • The session length, the areas to be worked on and the positions used
  • Whether a consultation or intake is included before the first session
  • Whether travel to your home or a clinic is included, and where it begins
  • Whether supports, oils or add-ons are part of the service
  • The cancellation and late arrival terms

Questions to ask before you hire

  • What training do you have in pregnancy massage, and how is it recognized in your state?
  • Do you need a note from my doctor before the first session?
  • How do you position me so I am safe and comfortable?
  • Do you avoid pressure on the abdomen and certain points on the body?
  • What should I do if I feel dizzy, short of breath or have pain during the session?
  • How do you adjust the session for each trimester?
  • What do you recommend I do at home between sessions?

Red flags

  • Does not ask about pregnancy stage, medical history or any complications
  • Uses deep abdominal pressure or places you flat on your back without a plan
  • Will not adjust the session when you ask or when signs of concern appear
  • Makes claims that massage can treat pregnancy complications
  • Has no training in pregnancy massage and does not say so

What you can do yourself

You can ease tension at home with gentle stretching, a warm bath and a pregnancy pillow for side-lying rest, and talk with your doctor before any massage. Do not press deeply on the abdomen or the lower legs. Hire a therapist trained in pregnancy massage for back, hip and leg work, and call your doctor right away for bleeding, fluid leaking, severe headache, or sudden swelling.

Licenses and permits

Prenatal massage is commonly covered by state massage therapy licensing rules, and most states require a license for paid massage. Check with your state's massage therapy licensing board before you book, and ask whether the therapist has pregnancy-specific training.

Prenatal massage questions

Is massage safe during pregnancy?

Many people receive massage during pregnancy, but every pregnancy is different. Ask your doctor before the first session, and tell the therapist about your pregnancy stage and any health concerns.

Can I get a massage in the first trimester?

Ask your doctor first. Many therapists wait until the second trimester, but the right time depends on your health and your doctor's advice.

What positions are used during a prenatal massage?

Positions often include side-lying with supports and seated work. The therapist should not place you flat on your back for long periods, and they should adjust the position for your comfort.

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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