Educational Article

What Should I Tell My Massage Therapist Before a Prenatal Massage?

By Michelle Reed, LMT · Celina, Texas · Published August 25, 2026

A good prenatal massage begins before any hands-on work does. It begins with a short, honest conversation about how your pregnancy is going and what your body would like out of the next hour.

This article is educational and is not medical advice. It is simply a guide to what tends to be useful to share, so you can walk in without wondering whether you forgot something important.

Helpful Things to Mention

On the pregnancy and health side:

  • your stage of pregnancy
  • whether the pregnancy has been considered high-risk
  • any restrictions your provider has given you
  • recent changes in your health
  • complications or concerns being monitored
  • significant swelling
  • blood-pressure concerns
  • recent hospitalization or procedures
  • pain that is new, severe, or unexplained

On the comfort and preference side:

  • preferred positioning and what has been comfortable lately
  • areas you do or do not want worked
  • pressure preferences
  • previous massage experiences, good or otherwise

You Don’t Need to Know Medical Terminology

Ordinary language is completely fine. “My ankles got puffy this week.” “They said something about my blood pressure at my last appointment.” “My right hip has been awful since I started sleeping on that side.” That is all useful, and it is enough.

You are not being quizzed, and there is no correct vocabulary. If I need a specific detail, I will ask a plain question. If neither of us is sure, that is often the point where checking with your provider becomes the sensible next step.

“Something felt off this week” is worth saying out loud. You do not need to name it to mention it.

Sometimes I May Ask You to Check With Your Provider

Occasionally something you describe will lead me to suggest getting input from your OB, midwife, or physician before we proceed. That is a professional boundary and safety decision — not a judgment about you, and not a refusal of care.

Massage therapy does not evaluate or manage pregnancy-related conditions, so when a question is genuinely medical, the right person to answer it is your maternity-care provider. When clearance is appropriate, I can provide a provider-release form for them to complete, and we go from there.

The situations where waiting or clearance makes sense are described in When Prenatal or Postpartum Massage Should Wait.

Your Comfort Matters Too

Comfort is not a side note during pregnancy — it shapes the whole session. Things worth speaking up about include positioning and how much support you want, room temperature and blankets, restroom breaks, pillow and bolster placement, pressure, and any wish to change position.

You can ask for any of that at any moment, and you can change your mind. If a position stops working halfway through, say so and we will rearrange it. Positioning in my practice is supported side-lying and other pregnancy-appropriate positions rather than prone belly-hole or cutout positioning, which is explained in Why I Use Side-Lying Positioning for Prenatal Massage.

For a walkthrough of the whole appointment, see Is Prenatal Massage Safe? What to Expect or the Prenatal & Postpartum Massage page.

Start With a Conversation

If you would rather talk before booking, a complimentary consultation is exactly that — a low-pressure conversation about your pregnancy, your comfort, and what you are hoping for.

The consultation does not diagnose and does not replace prenatal or postpartum medical care.

Frequently Asked Questions

This article is educational and is not medical or obstetric advice. Massage therapy does not diagnose or treat pregnancy-related conditions and does not replace care from your OB, midwife, or physician. If you are experiencing symptoms that may represent a medical emergency, seek emergency care.