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First trimester of pregnancy

Logan R

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Hi all,
Looking for advice on massage during the first trimester of pregnancy. I have a regular client who I massaged yesterday and she told me she is pregnant. I am a mobile massage therapist and I was at her home and set up so I did do a massage but did not massage the lower back, abdomen and just did gentle efflurage on the feet. She is a healthy young woman and is not experiencing any complications but is stressed because the pregnancy wasn't planned and she is obviously going to have to make big adjustments to her life. I understand full body massage iscontraindicated in the first trimester but have never found anything that really goes into the reasons for this. I have done a searchon previous threads on this topic but still none the wiser. I am going to advise her that she no longer have full body massage but I wanted to be able to explain why, does anyone have a reference for this kind of info? I would also like to know if any type of massage is completely ruled out in first trimester, I was thinking that it would be safe to do a facial and face massage combined with massage of hands and arms, what do you think? Would be very grateful for your thoughts and advice.

Biggles
 
Hi there!

We were always told that massage is contraindicated in the first 3months as this is the time that miscarriages may happen as its so early (same reason they recommend you wait 3months to tell people you're pregnant), and if the client did have a miscarriage and they had recently hada massage you wouldn't want them to think that the massage had a negative effect on the pregnancy. I'm unaware of actual research that massage at this time causes anything like this but I think is just a safer bet to not massage in the first 3months. We were also told that after 3months the doctors permission is required, and then just be aware of certain 'points' to miss on the client.

Cat
 
ahhh massage and contraindications... especially with pregnancy.[/align][/align]i would say that its always best to not do if you dont feel it right or your client doesnt feel it right.[/align][/align]with pregnancy... yes, in training you are told to avoid the first 3 months... i used to think the woman would explode or something! basically, the only contraindiaction and reason for this is litigation. should the pregnancy miscarry after you have done a massage, you will be the first person to "blame", even though your massage couldnt have possibly caused the miscarriage.[/align][/align]think about it... mother nature made pregnancies extremely resiliant... one of the reasons why mammals have survived for so long. its very very hard to dislodge a viable pregnancy. having said that, one should use caution with any unstable or history of unstable pregnancy.[/align][/align]its also a good idea to have done advanced courses so as to fully understand the A & P of pregnancy. [/align][/align]as the pregnancy progresses, it may not be possible to have client on the couch in conventional massage positions.. so think about that too.[/align][/align][/align]
 
Thanks Cat and Rosie for your replies they make a lot of sense. That 1st three months is obviously whena woman is more likely to miscarry and yep I sure wouldn't like to be blamed for causing that to happen. I have massaged a client through the 2nd and 3rd trimesters of pregnancy and she found it really beneficial plus reckons it minimised the stretch marks. I will definately consider doing some additional training in this area too and have checked out the well woman website mentioned in previous threadswhich looks pretty good. You can actually get a free place by setting up a course in your own area so I may well see if anyone near me is interested in doing this type of training too. So if anyone in Brighton or surrounding areas happens to read this PM me about it.
Biggles
 
Biggles - I am with Rosie - pregnancy is not in itself a condition of illness - rather of extreme wellness - and hence is not generally of itself a contraindication for massage at any stage in the pregnancy.

However there is the blame and litigation side of massage that usually makes the first trimester (when most miscarriages occur) a 'proceed with caution'and most importantly 'if in any doubt - dont' period. Hereis my rough and not exclusive list of added cautions in the first (and some in all three) trimesters - basically anything outside the normal blooming pregnancy that might increase the miscarriage risk - please add the ones I missed:-

1. History of miscarriage
2. Multiple pregnancy (twins or more)
3. An IVF or infertility treatment pregnancy (this is a very precious baby)
4. Family history or genetic counseling for possible abnormality
5. Any kinds of medical investigation of thebaby (amnio etc)
6. Any abnormal symptoms - raised BP / diabetes / abdominal pain / bleeding/ PKUetc
7. any abnormal history in first prior pregnancies
7. Any sense from the client or therapist that this does not feel like a good idea

I would also add that if a client is used to an activity pre-pregnancy (eg massage, exercise, yoga etc) then continuing them in a 'normal' pregnancy is usually fine - but starting different activities in the first trimester is generally not a great idea as the body is not used to it - and that they may need to be scaled back / adapted. On the massage front I would adapt/reduce depth / intensity / speed of massage.

Having said that massage can be really wonderful anytime in pregnancy and helps mum adapt to her changing body in a way she may not have the chance to by any other means. Talk to your client and reach consensus based on assessment - but even if all you both feel comfortable with is face and hands then this can be fabulous relaxation and help reduce the stress (and also I believe the miscarriage rate???) often associated with pregnancy.

If this is an area you want to get into - or feel more comfortable with - then training is a great idea - aspretty much allschools teaching basic massage, rightly in my opinion, are in the 'just dont do it' rather than even the 'if in doubt dont' camp. Trainingmay also help with insurance - not sure what yours covers?

If anyone can point to research on massage in early pregnancy (risks or not)I would love to see it

Hope that helps

InTouch
 
Hi InTouch,
Thanks for your advice. I agree pregnancy pregnancy is a state of wellness not illness. It'sa shame, thereseems to beso much stuff around about what women should and shouldn't do during their pregnancy that it kind of makes it quite an anxiety provoking time. I have decided to air on the side of caution and chatted to my client about it tonight and we agreed that she will get back in touch in the 2nd trimester which actually is only a few weeks away for her anway.
Best wishes
Biggles
 
Hi Biggles[/align][/align]Well I must say this is a new one on me, aromatherapy massage is contraindicated in the first trimester because of the possible effects of some of the essential oils, but not come across massage itself as being a problem.[/align][/align]If someone is having difficulties with their pregnancy then they will tell you during the consultation and you would act on what they tell you, otherwise massage away :)[/align]
 
Hi Paul,
Thanks for your comments. Yeah it seems a bit crazy doesn't it, but most courses and info I have come across say do not massage in the first trimester but without really going into the reasons why. Based on the comments and PMs I have received from this thread I gather that it is about avoiding possible litigation during the first three months when a woman is most likely to have a miscarriage. I guess this could have a knock on effect with insurance.If the training you have done, and therefore massage you are covered for says dont, would this then mean you are not covered by insurance? I think I am in danger of overthinking about it now![&:] My plan is to get some training in this area and find out more about it.
 
Hi everyone,

A large percentage of my client base are pregnant ladies, and (as long as your insurance is valid) you can treat them from day 1!! It is really worth doinga specialist course however as there are techniques that are more suitable for different points in the pregnancy - the 4 day course ran by Wellmother(.org) is a great example.

In the first trimester, avoid the abdomen for anything but holding / energy work. Similarly as the body's hormones are changing do not work as deeply on any area as you would do on a non-pregnant lady - this is not to say you can't use strong techniques but all of the body's tissues are softer and more flexible and it will take a lot less to both release tension and cause pain!

Hope that helps!

Jules
 
Hi Jules,
Thanks for your post it is very re-assuring. My client has recently re-contacted me now that she is in the second trimester and I am giving her weekly massage. I have looked up courses on pregnancy massage and will very likely do one when I can get some cash together to spend on training.
Best wishes
Biggles
 
Your welcome! Feel free to drop me a line if you have any questions - and have fun, its so rewarding doing pregancy treatments!


Jules x
 
hello,
according to ITEC, pregnancy is contraindicated in the first trimester but only on the abdomen. this is because massage here may cause disruption to the developing foetus. i have not heard of full body massage being totally contraindicated before, indeed when i was training one of my tutors fell pregnant and asked me to give her a back massage with firm pressure when in the first trimester.
the reasons pregnancy are most often contraindiacted are the one i mentioned above, fluctuating blood pressure concerns, risk of miscarrriage (tho this may have more to do with the clients past reproductive history and difficulty in carrying pregnancy to term), and the ever present threat of litigation.
if anyone has different information, please post it. this is by no means definitive.
I often treat clients in all stages of pregnancy.
the best thing to do for your client and yourself and unborn baby is to get them to provide you with written consent from their GP that massage is safe.
good luck! massage is brilliant for women in pregnancy, get the all clear and go for it. mum and baby will love it.
 
if you are massaging pregnant ladies and have not done a special course for this and added it to your insurance, please look at your original course syllabus (as it keeps changing) your insurance will only cover you for what you were taught and as this subject could be litegious you dont want to leave yourself open.

I personally have a large number of Pregnant clients and they benefit greatly from massage but I am well covered on the insurance front thankfully.
t
x
 
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    Hi guys ๐ŸŒนPhoenix blossom Spa โ™จ๏ธโ™จ๏ธโ™จ๏ธ3 girls every day ๐ŸŒน๐ŸŒน๐Ÿฅฐ๐ŸฅฐNew girl today Kittyโค๏ธpetite and sexy skin๐ŸŒน๐ŸŒน๐ŸŒนProfessional table shower body scrub๐Ÿฅฐ๐Ÿฅฐ๐Ÿฅฐ and so nice Mia is very good๐Ÿ‘Body slide๐Ÿคช๐Ÿคช๐Ÿคช and deep massage Jenny ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ5124 Dundas St W Etobicoke โ˜Ž๏ธ416-817-3366
  27. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ(647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ(437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ๐Ÿ’ฏ๐Ÿ’ฏ - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Lily๐Ÿ˜˜ - A petite tiny little Korean treat
  28. Moon&beauty:
    MoonMoon spa/416 887 8801/8131Yonge st #203 /Spanish girl (Mia) and Asian girl (Sophie) in today
  29. Spagirl:
    Golden leaf spa .2229 Bostock in mississauga.4379992166.super clean .linda is very friendly,does a very relaxing treatment.coco is small cute sexy slime
  30. Spagirl:
    GOLDEN LEAF Wellness center .2229 Bostock in missisauga
  31. Dreaminn:
    MONDAY at ๐Ÿ’ญDREAM INN WELLNESS SPA๐Ÿ’ญ: LULU, MIMI & SUGAR 10225 Yonge St (North of Major Mackenzie) Richmond Hill, ON โ˜Ž๏ธ 647-829-2983 โ˜Ž๏ธ LULU is a popular & well known Chinese attendant from another spa, very slim & beautiful, 5โ€™3โ€, 105 pounds with 34C Cups & incredible services. MIMI is a young Asian lady with a medium build and nice services.
  32. GoldenFlower:
    MONDAY at๐Ÿ’›โญ๐ŸŒŸ๐ŸŒปGOLDEN FLOWER SPA๐ŸŒป๐ŸŒŸโญ๐Ÿ’›, 8380 Kennedy Rd, Unit C6 (Kennedy & Hwy 7), Markham, ON 905-258-0777Jojo, Mika, Monica & Sherry. Jojo is a beautiful young fair skinned Hong Kong girl who can melt all your cares away. Mika is a sexy petite Vietnamese lady who can take good care of all your needs. Monica is sweet, attractive and accommodating.
  33. Moneylee:
    All season wellness center :New Young girl big boobs beautiful face deep massage Ada ,Young girl big breasted beautiful buttocks charming temperament big boobs Yoyo ,Young girl Big breasted saucy naughty Ella ,Enchanting sexy petite deep massage Sherry , address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘…๐Ÿ‘…๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘„๐Ÿ‘„
  34. Moneylee:
    Full season wellness center: Young girl big breasted beautiful buttocks charming temperament big boobs Vita ,Young girl big boobs beautiful face deep massage Bobo, Young girl Big-breasted big Big boobs big butts May,Young beautiful face sexy body and good deep massage maggie,Enchanting sexy petite deep massage Mary. 2560 Shepard ave Mississauga unit 1 .โ˜Ž๏ธ4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  35. ASPA:
    ๐— ๐—ข๐—ก๐——๐—”๐—ฌ ๐—”๐—ง ๐€ ๐’๐๐€: EMMA and RACHEL. ๐Ÿ…ฐ๏ธ๐€ ๐’๐๐€๐Ÿ…ฐ๏ธ, 28 South Unionville Ave, Unit 5, Markham. ๐Ÿ…ฐ๏ธ๐—–๐—ฎ๐—น๐—น ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿณ๐Ÿฎ๐Ÿต-๐Ÿฒ๐Ÿฒ๐Ÿฌ๐Ÿฒ ๐—ผ๐—ฟ ๐˜๐—ฒ๐˜…๐˜ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿด๐Ÿฏ๐Ÿต-๐Ÿฑ๐Ÿต๐Ÿฒ๐Ÿฒ๐Ÿ…ฐ๏ธ A THOUSAND PLEASURES AWAIT: EMMA is 1.64Cm. and weighs 52Kg. Emma is sweet and elegant, has very good communication & massage, and her services will make your visit enjoyable.
  36. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ(437) 818-8896โ˜Ž๏ธ โ˜Ž๏ธ(416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Bobo ๐Ÿ˜ A brand new Hong Kong girl making her debut at Annie Spa, Bobo is a young busty girl with natural 36C breasts and big round juicy nipples. Her slim waist and perfect firm ass will have you eating out of her palm and her kitty.
  37. HolidaySpa:
    Monday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธVIVIAN & JENNY JENNY has a medium build, nicely curved. Jenny has a slim waist, pretty face, and very flexible skills. Jenny will make you very happy. VIVIAN is camera shy & doesnโ€™t want to post a pic so far. She is young, attractive, and a must see for big boob lovers.
  38. bnwellness_wilson:
    Blue Nile Wellness Center, We have 4 young beautiful girls are working today, young cute student Vivian 25 years old and young fun open mind Tina with curve body, sweet GFE pretty Ella and sexy Coco are providing deep tissue and sensual massage, pls call 416-3985777 book appointment and walk in always welcome, back entrance and parking available,350 Wilson Ave North York
  39. ForeverWarden:
    Monday at ๐Ÿซฆโค๏ธ๐Ÿ”ดโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ 2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Bella & Lisa. Bella is around 5โ€™3โ€ with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups & wonderfully long nipples. Her massage is nice, her bbbj will drive you wild
  40. dave guhan:
    โค๏ธ ANNA MOON DREAMS โค๏ธ AKA ANGELA/EMILY โค๏ธ AVAIL TODAY โค๏ธ SUNRISE HEALTH โค๏ธ 10 EAST WILMOT UNIT 27 โค๏ธ (647) 325-8086 โค๏ธ
  41. Red Rose Spa:
    ๐ŸŒธ We have 7 hot brown girls today ๐ŸŒธ ASHA, MALIYA, SANA, AMANDA, MIMI, ANAYA, AAVI, ANGEL ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  42. Lily Spa:
    โค๏ธ SANA, CAMILLA and KK are here today for your massage needs โค๏ธ Lily Spa โค๏ธ 2190 McNicoll โค๏ธ Scarborough โค๏ธ M1V 5M2 โค๏ธ (647) 531-8288 โค๏ธ
  43. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡New First Day Young Sexy Japanese Girl Nini (23 years old 163cm 50kg 34D) Slim Sexy Chinese Kiki, Slim Petite Chinese Judy, Tall Slim Sexy Chinese Kelly, Young Sexy Chinese Abie
  44. Peony Garden Spa:
    ๐ŸŒธ3 GIRLS AVAILABLE TODAY ๐ŸŒธ NEW GIRL HELEN: A YOUNG TALL AND SLIM VIETNAMESE GIRL WITH A VERY LUSCIOUS BODY, A ROUND BUBBLE BUTT AND VERY SWEET ๐ŸŒธ JENNY: A TALL AND SLIM KOREAN GIRL THAT IS A TOTAL SERVICE QUEEN ๐ŸŒธ ELLA: A PETITE YOUNG CHINESE GIRL THAT IS A POPULAR FAVOURITE ๐ŸŒธ PEONY GARDEN SPA ๐ŸŒธ 3477 KENNEDY ROAD UNIT 4 ๐ŸŒธ (416) 335-6093 ๐ŸŒธ
  45. Theodore:
    Koi thode bahut number dedo re milf/bhabhi/girl ke bahut dino se bhuka hoon urgent need h pls help me out guys will help u all if possible pls pls share me in the inbox
  46. Sparkling Spa:
    KOREAN PARTY GIRL SUMMER,@ Sparkling Spa๐Ÿ‘ŒMENTION OUR ADS AND RECEIVE A ROOM DISCOUNT $35 FOR 30MIN, $50 FOR 45MINโ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phone 50 LOCKRIDGE AVE UNIT#8
  47. bumika.vashi:
    ((เค†เคชเค•เฅ‹ เคฌเคฟเคจเคพ เคจเคพเคŸเค• เคฏเคพ เคจเค–เคฐเฅ‡ เค•เคฐเคจเฅ‡ เคตเคพเคฒเคพ เคธเคฐเฅเคตเคฟเคธ เคšเคพเคนเฅ‡ เคคเฅ‹เคน เคฏเคพเคฆ เค•เคฐเคจเคพ. ))) If you want Service without Drama or Tantrums, Remember it. Will Try To Give You The Best Possible Sweating Experience With Full Company. TAKE MY WORD.?? Don't Waste Your Time And Money In Some Other Place Where You are Really Upset Loosing Out Both Money And Fun. Ok Try With Our Girls Once Then Your Visit Will Be Regular To Me.... _________________N O T E_________________ If u like my services Please Please Do not forget to t
  48. Bellagio Wellness &Spa:
    ๐Ÿ’—๐Ÿ’—๐Ÿ’— โ„๐”ธโ„™โ„™๐• ๐”ธโ„™โ„๐•€๐•ƒ ๐Ÿ’—๐Ÿ’—๐Ÿ’—๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ APRIL 22th , MONDAY ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ โ˜Ž๏ธ (905) 707-6866 ๐Ÿ•™๐ŸŒŸ๐ŸŒŸ๐ŸŒŸOpen 10:30-10:00๐Ÿ—บ#33-160 East Beaver Creek ๐Ÿ—บ 7 Rms ๐Ÿ›๐ŸŒŸ๐ŸŒŸ๐ŸŒŸTable Shower(TS)+Massage 2hr $120*,TS & massage 1hr $90, ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸ$40/50/60 for 30/45/60min ๐ŸŒŸ๐ŸŒŸ๐ŸŒŸAttendants: We have 6๏ธโƒฃ today ๐Ÿ€๐Ÿ€๐Ÿ€ ๐ŸŒนCHERRY ๐ŸŒน SOPHIE ๐ŸŒน๐Ÿ†• SENECA ๐ŸŒน SUNNY ๐ŸŒน๐Ÿ†• TINA ๐ŸŒน LUCY ๐Ÿ€๐Ÿ€๐Ÿ€ NEWSFLASH ๐Ÿ€๐Ÿ€๐Ÿ€ CHERRY & ๐Ÿ†• TINA & ๐Ÿ†• SENECA & SUNNY & SOPHIE โ€˜ s BACK ๐Ÿ€๐Ÿ€๐Ÿ€ TODAY ๐Ÿ€๐Ÿ€๐Ÿ€
  49. humanbeing:
    University of Windsor massage girla
  50. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡Tomorrow New First Day Young Sexy Japanese Girl Nini (23 years old 163cm 50kg 34D) Slim Sexy Chinese Kiki, Slim Petite Chinese Judy, Tall Slim Sexy Chinese Kelly, Young Sexy Chinese Abie
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