Postnatal Massage Considerations — Safety First
Practical screening and modifications for the fourth trimester.
TL;DR
- Prioritize gentle, comfort‑guided care after delivery. Screen for red flags and protect healing tissues (especially after C‑section).
- Coordinate with healthcare providers when in doubt; progress pressure and duration slowly.
Screening and red flags
- Fever, foul discharge, severe/worsening pelvic or abdominal pain.
- Calf swelling/tenderness (DVT risk), uncontrolled bleeding, dizziness.
- Avoid direct abdominal work without clearance; protect C‑section incisions until fully healed.
Positioning and comfort
- Side‑lying or semi‑reclined are often most comfortable early postpartum.
- Use pillows to support abdomen, hips, and breasts as needed.
Regions and pressure guidance
- Back/shoulders/neck: light‑to‑moderate pressure; avoid bony prominences.
- Abdomen: avoid until medical clearance; begin later with feather‑light desensitization around scars (if any).
- Legs: gentle strokes toward proximal segments; avoid deep pressure over suspected varicosities.
Scar and pelvic‑floor considerations
- C‑section scar: no direct pressure until healed; later, very light touch and mobility around borders as guided by a clinician.
- Pelvic‑floor symptoms (leakage/pressure): coordinate with pelvic‑floor PT; avoid techniques that increase intra‑abdominal pressure.
When to avoid
- Active infection, uncontrolled bleeding, unhealed incisions, severe pain of unknown cause, or any concerning systemic symptoms.
FAQs
How soon can I receive bodywork after delivery?
Gentle, supportive touch and positioning help early; deeper work waits for clearance, especially after surgical delivery.
Can massage improve milk supply or mastitis?
Discuss with your provider or lactation consultant; gentle techniques and positioning can help comfort, but fever and severe symptoms need medical evaluation.
References
- Clinical article: https://www.integrativehealthcare.org/mt/the-4th-trimester-postnatal-massage-considerations/
- Postpartum massage overview: https://www.healthline.com/health/postpartum-massage