Pregnancy and Lymphatic Drainage Massage: Safety and benefits

Pregnancy brings many wonderful changes, but it can also bring some discomforts, especially as the body adapts to the growing baby. Common complaints include swelling, water retention, and aching joints. An effective and non-invasive treatment for these issues is lymphatic drainage massage (MLD), which can offer relief, promote wellness, and help pregnant individuals feel their best. In this blog, we’ll explore the safety, benefits, and potential contraindications of lymphatic drainage massage during pregnancy, as well as how this therapy can be customised to suit each individual’s needs.

The Benefits of Lymphatic Drainage Massage During Pregnancy

Lymphatic drainage massage focus in boosting the work of the lymphatic system. By increasing the functionality of this body system, we promote the flow of lymph liquids and help the body to move unwanted substances, as well as reduce fluid retention. This type of massage has been shown to have specific benefits for pregnant individuals (Cataldo Oportus et al., 2013), particularly when it comes to managing swelling and improving overall circulation.

The benefits of include:

1. Reduction of Swelling (Oedema): One of the most common pregnancy-related discomforts is swelling in the feet, ankles, and legs. Lymphatic drainage helps to enhance the flow of lymph, which can reduce fluid buildup in the tissues and alleviate discomfort caused by oedema.

2. Relief from Pregnancy-Related Back Pain: Lymphatic drainage massage can reduce tension in the back and promote better posture, helping to relieve pain caused by the increased weight and pressure on the spine during pregnancy. In this case, the treatment is delivered in a side position.

3. Improved Circulation: Pregnancy can lead to changes in blood flow and circulation. Lymphatic drainage promotes circulation and can improve oxygen and nutrient delivery to both the mother and baby.

4. Mental and Emotional Wellbeing: Lymphatic drainage massage is extremely relaxing, and this positive side effect of the treatment can help you in having a better sleep which obviously can overcome stress and body ache.

Per standard and comfort, at Melbourne Massage and Treatment, I tend to deliver lymphatic drainage massage in a seated position for pregnant women. This is possible thanks to the reclined hydraulic table, which can be converted from a flat table into a comfortable and big chair.

How Compression Stockings Can Help Reduce Swelling

Another effective way to manage swelling during pregnancy is the use of compression stockings.

I recommend and provide to my patient stockings from Sigvaris, which is one of the world’s leading stocking manufacturers. The idea of using stocking, is to maintain pressure and liquid moving along the day, while sitting or walking, or doing your daily activities.

How the stocking works is by adding a constant compression, which still leave you with a comfortable feeling and does help in pushing the liquid towards the upper body, reducing the chances of fluid accumulation in the lower limbs. For pregnancy, the grade recommended is grade 2, which is a clinical grade stocking. Consider that grade 3 is what is recommended for presentation like Lymphoedema.

In terms of measurements, I can easily take mesuraments on site for the best fitting compression, and have the leggings with in 2 to 3 business days. For any enquire about the product or the services please do not hesistate to contact me now.

What to Consider When Delivering a Massage During Pregnancy

Now we are going to talk about what to consider when we deliver a massage to a pregnant patient, and as you will read, often light pressure is a must in this type of treatment, which gives lymphatic drainage massage an advantage compared to traditional relaxation pregnancy massage.

So, there are certain areas of the body that we tend to avoid working on during a massage treatment for pregnancy, or where we may work on, but with a really light pressure and a full verbal or sometimes written consent.
Here is a brief summary:

1. Abdominal Area:

• Deep or direct pressure on the abdominal area is a big NO. Instead, we can do gentle, light strokes if the patient is comfortable with it and they request it. Explicit consent here is a must.

2. Lower Back (Spine and Sacral Area):

• This is another big NO for heavy pressure. The reason lies behind the fact that strong pressure can lead to strain of the ligaments that hold the joints together, which, as the pregnancy progresses to a later stage, become more and more relaxed, allowing the birth to happen. So again, gentle massage techniques such as effleurage (long, sweeping strokes) or light kneading can be beneficial, but light touch.

3. Legs:

• Inner thighs another area where we avoid strong pressure, due to the presence of pressure points that could potentially stimulate uterine contractions if over-stimulated (e.g., peroneal or acupressure points).

4. Ankles and Feet:

• Ankles and feet, as there are acupressure points (like those related to the reproductive system) that may lead to unwanted effects if stimulated too forcefully. That said, a gentle foot massage can help relieve swelling and discomfort.

5. Hand and wrist

• The area of your hand, between thumb and index, and the pulsing point on the wrist, are other areas where massage is not recommended as it can cause contractions.

Always remember that this is a brief summary, and everyone can react differently to the work received in that area. Therefore, there is no need to be scared of making contact with other people, and you should feel comfortable with your body.

Trimesters and Positioning

The position to be in during a massage, including lymphatic drainage massage, also depends on the trimester in which you are.

First Trimester (0–12 Weeks):

• Lying on the back or side is generally fine during the first trimester, as long as the client is comfortable.

• A reclining position with support (e.g., pillows or bolsters) is often preferred for comfort.

• Lying prone (on the stomach) can be done during the first trimester if the client feels comfortable. However, lying flat on the stomach will become uncomfortable and impractical as pregnancy progresses.

Second and Third Trimesters (13+ Weeks):

• The side-lying position is the safest and most recommended position for pregnant clients, particularly after the first trimester. This position avoids pressure on the abdomen, ensuring the safety of both the client and baby.

  • Left side-lying is often preferred, improving circulation to the uterus and kidneys.

  • Right side-lying can be used but should be avoided for prolonged periods since it may compress the inferior vena cava, the large vein responsible for returning blood from the lower body to the heart, potentially reducing blood flow to the uterus. Therefore, when delivering a massage treatment, we will always opt for the left side-lying position.

• Semi-reclined or seated position can also work well, especially when using a hydraulic table or specialised massage chairs that allow the person to be comfortably supported in a seated or semi-reclined position.

• Avoid supine position (lying flat on the back) in the later trimesters, as this can compress the major blood vessels (like the inferior vena cava) and reduce blood flow to both the mother and baby.

In any case, when delivering a massage, I always offer extra pillows or towels to provide better support, especially around the back, abdomen, and legs.

Contraindications for Massage During Pregnancy

While massage is safe for many pregnant people, there are certain conditions and circumstances in which it may be contraindicated or require special precautions. These include:

1. High-Risk Pregnancy: Individuals with a history of preterm labour, placental issues (e.g., placenta previa), or high blood pressure (gestational hypertension) should consult their healthcare provider before considering any form of massage. That’s where a written consent, which includes a GP referral, is mandatory.

2. Deep Vein Thrombosis (DVT): If you are at risk for blood clots or you have been diagnosed with DVT, massage is not an option till the time the DVT has cleared. Again, GP or specialist referral is needed.

3. Complications like Preeclampsia: Pregnancy-induced hypertension (preeclampsia) requires careful monitoring, and massage may be contraindicated in some cases.

So, before you consider going for a massage, ensure you are free of any of those presentations, which, anyway, are always monitored during the regular pregnancy visits. And if you have any doubt, reach out to your GP and ask for clarifications around the presentation.

Lastly, you can find a list of contraindications to lymphatic drainage massage by clicking here.

Conclusion

Lymphatic Drainage Massage is a safe, effective, and relaxing therapy for pregnant individuals with swelling, back pain, and overall discomfort. With the right precautions, this type of massage can provide significant relief and enhance overall wellness. At Melbourne Massage and Treatment, I prioritise your comfort and safety, offering customised treatments using a hydraulic table to ensure a safe and enjoyable experience.

If you’re pregnant and looking for relief from swelling, back pain, or other common pregnancy symptoms, we invite you to book a session with us today. Let us help you feel your best as you embark on this beautiful journey.

FAQ – Lymphatic Drainage Massage and Pregnancy

1. Is lymphatic drainage massage safe during pregnancy?

Yes, lymphatic drainage massage is generally considered safe for most pregnant individuals, especially when performed by a trained and experienced professional. It can help reduce swelling, alleviate back pain, and improve circulation. However, it’s important to consult with your healthcare provider before starting any new treatments, especially if you have a high-risk pregnancy or other complications.

2. What are the benefits of lymphatic drainage massage during pregnancy?

Lymphatic drainage massage offers several benefits during pregnancy, including:

• Reduction in swelling (oedema) in the feet, ankles, and legs.

• Relief from pregnancy-related back pain and improved posture.

• Enhanced circulation, which helps oxygen and nutrients reach both mother and baby.

• Mental and emotional relaxation contributes to better sleep and reduced stress.

3. Can lymphatic drainage massage help with pregnancy-related swelling?

Yes, one of the main benefits of lymphatic drainage massage is its ability to reduce swelling (oedema) caused by fluid retention, especially in the lower limbs. By improving the flow of lymph, this massage helps move excess fluid from the tissues, alleviating discomfort and helping you feel more comfortable.

4. What should I avoid during a pregnancy massage?

During pregnancy, certain areas of the body should be massaged with caution or avoided altogether:

• Abdomen: Deep pressure is not recommended. Gentle strokes may be used with consent.

• Lower back and sacral areas: Avoid strong pressure as it can strain ligaments.

• Legs: Be cautious with inner thighs, as pressure points can trigger uterine contractions.

• Ankles and feet: Gentle foot massage is fine, but avoid strong pressure on acupressure points.
  Always communicate with your massage therapist if you feel uncomfortable at any time.

5. What position should I be in for a pregnancy massage?

During the first trimester, lying on your back or side is typically comfortable. As pregnancy progresses, the side-lying position becomes the safest option, particularly the left side, to avoid pressure on major blood vessels. A semi-reclined or seated position can also be used for comfort. Always ensure that you’re supported with pillows or bolsters to enhance comfort and safety.

6. Are there any contraindications for lymphatic drainage massage during pregnancy?

Yes, lymphatic drainage massage may not be suitable for individuals with certain conditions, such as:

• High-risk pregnancy: Preterm labour, placental issues, or high blood pressure.

• Deep Vein Thrombosis (DVT): Blood clots can be worsened by massage.

• Preeclampsia: Pregnancy-induced hypertension requires careful monitoring and may contraindicate massage.
  Always check with your healthcare provider before undergoing any massage treatment if you have these conditions.

References:

1. Cataldo Oportus, S., de Paiva Rodrigues, L., Pereira de Godoy, J. M., & Guerreiro Godoy, M. de F. (2013). Lymph Drainage in Pregnant Women. Nursing Research and Practice, 2013, 1–3. https://doi.org/10.1155/2013/364582