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Postnatal Massage: Benefits and When to Avoid It

  • Silvio Bonomi
  • Jun 4
  • 14 min read

Table of Contents


  • What Is Postnatal Massage and How Does It Work
  • Relaxation and Stress Relief Benefits of Postnatal Massage
  • How Postnatal Massage Helps with Pain Relief
  • Hormone Balance and Emotional Support Through Massage
  • Reducing Swelling with Postnatal Massage
  • Improving Sleep Quality After Childbirth
  • Ways Postnatal Massage Supports Breastfeeding
  • How Massage Aids in Healing and Recovery After Birth
  • When Is the Right Time to Start Postnatal Massage
  • Safe Positions to Use During Postnatal Massage
  • Using Aromatherapy with Postnatal Massage
  • Health Conditions and Situations to Avoid Postnatal Massage
  • Tips for Choosing a Skilled Postnatal Massage Therapist
  • Frequently Asked Questions




Postnatal massage is a gentle way to support mothers as they recover from childbirth, offering both physical and emotional benefits. It helps relax tight muscles, reduce pain in areas like the back and hips, and lowers stress hormones that often cause mood swings. Improved circulation from massage also helps decrease swelling and speeds healing after delivery. Mothers may feel more rested since massage encourages better sleep patterns, which is important when caring for a newborn. However, it’s important to avoid massage if there are medical issues such as infections or recent C-section without doctor approval. Always consult healthcare providers before starting therapy to ensure safety.


What Is Postnatal Massage and How Does It Work




Postnatal massage is a specialized type of therapy designed to support mothers as they recover physically and emotionally after childbirth. It uses gentle techniques that help relax the body, promote healing, and restore balance after the changes of pregnancy and delivery. By improving blood circulation and lymphatic flow, postnatal massage helps reduce swelling and remove toxins, which can be common after giving birth. This therapy also targets typical postpartum discomforts like muscle tension, aches, and fatigue, easing these through carefully applied pressure and movements. Beyond physical benefits, postnatal massage influences the nervous system to help balance hormones, lowering stress hormone levels and encouraging the release of mood-enhancing chemicals like serotonin and dopamine. Different massage methods, such as myofascial release, focus on releasing tightness in specific muscle groups to improve comfort and function. The approach is always tailored to the mother’s comfort, with adjustments to pressure and positioning to accommodate sensitive areas like the abdomen and breasts. By enhancing oxygen and nutrient delivery to tissues, postnatal massage supports faster healing and helps the body return to its pre-pregnancy state. It is more than just a relaxation practice; it’s a thoughtful, functional therapy aimed at helping new mothers regain strength and emotional well-being during a critical time.


Relaxation and Stress Relief Benefits of Postnatal Massage



Postnatal massage offers significant relaxation and stress relief benefits that many new mothers find helpful during the challenging postpartum period. One of the key effects of massage is lowering cortisol levels, the hormone linked to stress and anxiety, which are common after childbirth. By reducing this hormone, massage helps ease emotional tension and promotes a calmer state of mind. Physically, massage relaxes tight muscles that often become sore or tense from pregnancy, labor, and caring for a newborn. This muscle relaxation not only eases discomfort but also encourages a deep sense of calm and well-being.

Increased blood flow is another way massage supports relaxation. Improved circulation nourishes tissues and helps the body release built-up tension. Gentle touch during massage also provides emotional support, helping mothers feel cared for and grounded during a time that can feel overwhelming. Regular massage sessions have been shown to reduce symptoms of postpartum blues and mild depression by stimulating the release of serotonin and dopamine, neurotransmitters associated with happiness and mood regulation. This hormonal balance can lessen irritability and mood swings, making it easier for mothers to cope with daily demands.


Specific techniques like craniosacral therapy gently ease tension in the nervous system, further enhancing relaxation and stress relief. The calming effects of massage can improve energy levels and mental clarity, helping new mothers feel more present and patient with their babies. Overall, postnatal massage supports emotional healing and provides a peaceful space to rest, which is vital for adjusting to life after childbirth.


How Postnatal Massage Helps with Pain Relief



Postnatal massage is a helpful way to ease the common aches and pains new mothers often face. Pregnancy and caring for a newborn can cause soreness in the back, shoulders, hips, and arms. Massage works by targeting these areas, reducing muscle stiffness and improving flexibility in joints and muscles. It also boosts circulation, which speeds up the removal of lactic acid and other substances that cause pain. Many women experience numbness or tingling from nerve compression after childbirth, and massage can relieve these uncomfortable sensations. Additionally, massage helps lower inflammation in soft tissues, which lessens discomfort. Gentle stretching and pressure during massage can ease the tightness caused by poor posture or frequent lifting of the baby. For ongoing or chronic pain, several massage sessions might be needed to get lasting relief. One of the advantages of postnatal massage is that it offers a drug-free option for managing pain while the body recovers. It also supports healing of scar tissue from C-sections or tears, reducing pain and tension in those areas. When pain is relieved, mothers often find it easier to move around and care for their baby without added strain or discomfort.


Hormone Balance and Emotional Support Through Massage


Postnatal massage plays an important role in helping new mothers find emotional balance during a time of big changes. One key benefit is its ability to lower cortisol, the stress hormone, which often spikes after childbirth and can cause anxiety or tension. By reducing cortisol levels, massage helps ease these feelings, making it easier to relax and cope with daily challenges. At the same time, massage encourages the release of oxytocin, sometimes called the "bonding hormone," which supports feelings of connection and well-being between mother and baby. This hormone boost can enhance emotional closeness and promote a sense of calm. Massage also stimulates dopamine and serotonin, both of which improve mood and may help reduce signs of postpartum depression. This natural mood lift supports better sleep and energy, which are often in short supply for new moms. When combined with aromatherapy using certain essential oils, these hormonal effects can be even stronger, helping to stabilize emotions and support the body's healing process. Touch itself offers a nurturing form of emotional support, helping mothers feel cared for and less overwhelmed during postpartum adjustment. While massage isn't a replacement for medical care, it can be a helpful addition to managing postpartum mood disorders by encouraging relaxation and a positive mental state. In all, postnatal massage gently supports the endocrine system's recovery, helping to balance hormones, reduce stress, and foster emotional well-being as mothers navigate early motherhood.

Reducing Swelling with Postnatal Massage


Postpartum swelling is common because the body holds onto extra fluids during pregnancy. Postnatal massage helps by encouraging lymphatic drainage, which is the body’s natural way of removing this excess fluid. When massage improves blood circulation, it helps move fluids away from swollen areas like the legs, feet, and hands, reducing puffiness and discomfort. Through gentle tissue manipulation, stagnant fluids are encouraged to flow out of these swollen spots, easing the heaviness many new mothers feel. It’s important to keep drinking plenty of water alongside massage sessions, as staying hydrated supports the body’s detox process. Massage also helps balance postpartum hormones, which can reduce fluid retention further. Starting massage early can prevent swelling from getting worse and speed up recovery. Using soft, careful techniques is key to avoid irritating sensitive or tender tissues. By lowering swelling, massage improves mobility and overall comfort, making daily tasks easier for new moms as they recover.

Improving Sleep Quality After Childbirth


Postnatal massage can be a gentle way to help new mothers get better sleep during a time when rest is often interrupted. By promoting relaxation, massage helps mothers fall asleep more easily and stay asleep longer. It increases delta brain wave activity, which is linked to deep and restorative sleep, allowing the body to recover more effectively. Many new moms experience muscle tension and discomfort from pregnancy, labor, and nighttime baby care, and massage helps relieve this tension, making it easier to find comfortable sleeping positions. Massage also lowers stress hormones like cortisol, which can improve sleep patterns and reduce frequent awakenings. For mothers dealing with anxiety or restlessness that keeps them awake, massage offers a calming effect that can ease these feelings. Scheduling massage sessions before bedtime may enhance both the duration and quality of sleep, helping mothers feel more refreshed. Better sleep supports physical healing and mental well-being, which are crucial during postpartum recovery. Over time, consistent massage can help establish healthier sleep routines, counteracting fatigue caused by nighttime baby care and improving mood, focus, and energy for daily tasks.

Ways Postnatal Massage Supports Breastfeeding


Postnatal massage can be a helpful support for breastfeeding mothers in several ways. It naturally increases prolactin levels, which is the hormone essential for milk production, helping to maintain a good milk supply. Massage also relaxes the chest and shoulder muscles, reducing tension that often causes discomfort or pain while nursing. By improving circulation to the breast tissue, massage encourages better milk flow and can ease engorgement, making feeding more comfortable for both mother and baby. Gentle breast massage has been shown to lower sodium content in breast milk, which may aid the baby's digestion. When done carefully, massage can relieve blocked milk ducts and help prevent mastitis, a painful inflammation of the breast. It also supports a better latch by easing tightness around the chest and neck, making it easier for newborns to feed effectively. Because breast massage requires special care, it is important to have guidance from a trained professional to ensure safety and effectiveness. Massage promotes emotional calmness too, which positively influences the milk let-down reflex, encouraging easier feeding sessions. Mothers should always inform their massage therapist about breastfeeding so any oils or techniques that might not be safe can be avoided. Finally, massage works best as a complement to other breastfeeding supports like proper positioning and staying well-hydrated, creating a more comfortable and successful breastfeeding experience.

How Massage Aids in Healing and Recovery After Birth


Massage plays an important role in helping the body heal and recover after childbirth. By improving blood flow, it increases the delivery of oxygen and nutrients to muscles and skin, which speeds up tissue repair. This is especially helpful for healing after vaginal tears or C-section incisions, as massage can reduce stiffness in scar tissue and promote flexibility. Uterine massage is another key benefit, as it encourages gentle contractions that help the uterus shrink back to its normal size more quickly. Better circulation also helps clear inflammation and supports faster healing of wounds. Many new mothers experience muscle spasms or pelvic tension after delivery, and massage offers relief by relaxing these tight areas. It also aids in realigning muscles and connective tissue stretched during pregnancy, helping the body regain its natural shape and posture without relying on medications. When combined with appropriate exercises, massage can be effective in reducing abdominal separation, or diastasis recti, a common postpartum concern. Beyond physical healing, massage encourages relaxation, which supports the body’s own recovery processes and can make the postpartum period a bit easier. Overall, postnatal massage offers a gentle, natural way to support the body through its healing journey after birth.


When Is the Right Time to Start Postnatal Massage


Mothers can begin postnatal massage once they feel physically ready and comfortable, often within the first 12 weeks after birth, a period known as the fourth trimester. However, if there were any complications during delivery or a C-section was performed, it’s important to get medical clearance before starting massage therapy. Therapists will adjust their techniques and positioning to protect healing tissues, commonly using side-lying positions early on to avoid putting pressure on the abdomen. Massage should start gently and only increase in intensity as the mother tolerates it, with the therapist watching carefully for any signs of discomfort or adverse reactions. The timing really depends on each woman’s unique recovery pace and overall health after childbirth. Consulting a healthcare provider before beginning massage ensures it fits safely into postpartum care. Regular sessions during this critical recovery phase can help support both the physical healing process and emotional adjustment to motherhood.


Safe Positions to Use During Postnatal Massage


In the early weeks after childbirth, the side-lying position is usually the safest and most comfortable for postnatal massage. This position helps avoid putting pressure on the abdomen and breasts, which can still be tender or healing. For mothers recovering from a C-section, side-lying also minimizes strain on the incision area. As healing progresses and comfort improves, the prone (face-down) position may be introduced, but only once the abdomen has fully recovered. The supine (face-up) position is generally limited early on because lying flat can put pressure on major blood vessels, potentially causing discomfort or dizziness.


Using cushions and bolsters is key to supporting sensitive areas and maintaining comfort throughout the session. For example, placing a bolster between the knees when side-lying helps align the hips and reduce muscle strain. Therapists often adjust positions to accommodate breastfeeding mothers, ensuring access and comfort without pressure on the breasts. They also adapt when clients experience pain, always avoiding strain on weak or healing abdominal muscles, especially if diastasis recti is present.


Changing positions during a massage can help prevent stiffness and boost circulation, but it’s important that each position feels safe and comfortable. Proper positioning also supports lymphatic drainage, which reduces swelling without causing stress to the body. Throughout the session, the therapist and mother should communicate openly to make sure the chosen positions remain comfortable. The focus is always on safety and comfort, rather than pushing for longer or more intense techniques.


Using Aromatherapy with Postnatal Massage


Aromatherapy can be a gentle way to enhance the benefits of postnatal massage, helping new mothers relax and support hormone balance after childbirth. Essential oils like lavender, chamomile, ylang-ylang, and clary sage are popular choices because they have calming effects and can help stabilize mood. However, these oils should always be diluted with carrier oils such as jojoba or sweet almond oil to prevent skin irritation. Nursing mothers should let their therapist know they are breastfeeding so the therapist can avoid oils like rosemary, basil, and peppermint, which might affect milk supply or cause sensitivity. Aromatherapy can be used in different ways during massage: diffusing oils in the room, mixing them into massage lotions, or applying them topically with proper dilution. It’s important that therapists have training in aromatherapy to understand safe dosages, contraindications, and how to patch test to avoid allergic reactions. For mothers with allergies, asthma, or sensitive skin, a healthcare provider should be consulted before using essential oils. Combining aromatherapy with massage may help regulate hormones by influencing brain chemicals like serotonin and dopamine, contributing to a more balanced mood and overall sense of well-being during the postpartum period.


Health Conditions and Situations to Avoid Postnatal Massage


Postnatal massage can be very helpful, but there are certain health conditions and situations where it’s best to avoid it or proceed with caution. If you have open wounds, rashes, skin infections, or eczema in the area to be massaged, it’s important to wait until these are fully healed to prevent irritation or spreading infection. Mothers with high blood pressure or serious heart conditions should get medical approval before massage, as it could potentially make these issues worse. For those who recently had a C-section, abdominal massage should be avoided until your doctor confirms it’s safe, since pressing on healing tissues too soon might interfere with recovery. If you have diastasis recti, which is the separation of abdominal muscles, deep pressure on the belly should be avoided to prevent worsening the condition. It’s also wise to skip massage if you have an acute infection like a fever or the flu, as your body needs rest to fight off illness. Severe postpartum depression requires professional medical support; massage may help as a complementary therapy but is not a replacement for treatment. Any unusual pain, swelling, or other complications after childbirth should be checked by a healthcare provider before starting massage. If you have a history of blood clots or thrombosis, massage is generally not recommended because it might dislodge clots. Additionally, if you’re taking certain medications or have medical devices, talk with your healthcare provider about whether massage is safe for you. Always be sure to inform your massage therapist about any health concerns, recent surgeries, or special conditions so they can tailor the session safely to your needs.

Condition or Situation

Reason to Avoid Massage

Notes

Open wounds, rashes, skin infections, or eczema

Risk of irritation or worsening skin condition

Wait until fully healed before resuming massage

High blood pressure or serious cardiovascular conditions

Massage can exacerbate blood pressure or heart issues

Medical clearance required

Recent C-section

Abdominal massage might disrupt healing tissues

Doctor's approval needed before abdominal massage

Diastasis recti (abdominal muscle separation)

Deep abdominal pressure may worsen condition

Avoid deep pressure; follow healthcare provider guidance

Acute infections such as fever or flu symptoms

Massage may worsen symptoms or spread infection

Delay sessions until full recovery

Severe postpartum depression

Massage alone is insufficient treatment

Use as complementary therapy with professional care

Unusual pain, swelling, or postpartum complications

Potential underlying issues needing evaluation

Consult healthcare provider before massage

History of blood clots or thrombosis

Risk of dislodging clots during massage

Massage may be contraindicated; consult doctor

Certain medications or medical devices

Massage interaction with treatments or devices

Discuss safety with healthcare provider

Any unresolved medical conditions or recent surgeries

Massage may interfere with healing or worsen condition

Inform therapist and seek clearance before massage

Tips for Choosing a Skilled Postnatal Massage Therapist


When looking for a postnatal massage therapist, it’s important to find someone trained specifically in postpartum massage techniques. This ensures they understand the unique changes a mother's body goes through after childbirth, like muscle separation and sensitive areas. Checking reviews or asking other mothers and healthcare providers for recommendations can help you find a trusted professional. A good therapist will know how to adjust massage positions for your comfort, using side-lying or cushioned supports, especially if you had a C-section or a complicated delivery. Don’t hesitate to ask if they have experience with clients who faced similar situations. Also, confirm that the oils and products they use are safe for postpartum and breastfeeding moms. A skilled therapist will be aware of pain management and emotional support during sessions and encourage you to share any discomfort or concerns openly. Some therapists are open to coordinating care with your healthcare provider, which can be very helpful for holistic healing. Finally, choose a therapist who provides a clean, private, and calm environment to help you relax and feel secure during your treatment.


  • Look for therapists certified or trained specifically in postnatal or postpartum massage techniques.
  • Check if the therapist has knowledge of postpartum body changes, including muscle separation and areas sensitive after delivery.
  • Read reviews or ask for recommendations from other mothers or healthcare providers familiar with postpartum care.
  • Ensure the therapist understands how to adjust massage positions to accommodate comfort and safety, such as side-lying or cushioned support.
  • Ask if the therapist has experience working with clients who had C-sections or complicated deliveries.
  • Confirm that the therapist uses safe oils and products suitable for postpartum and breastfeeding mothers.
  • Inquire about the therapist’s approach to pain management and emotional support during sessions.
  • Choose a therapist who encourages open communication to discuss any discomfort or concerns during the massage.
  • Check if the therapist is willing to coordinate with your healthcare provider if needed for holistic care.
  • Prioritize therapists who maintain a clean, private, and calm environment to promote relaxation and well-being during treatment.


Frequently Asked Questions


1. What are the main health benefits of postnatal massage for new mothers?


Postnatal massage can help new mothers by reducing muscle tension, improving blood circulation, relieving back pain, and promoting relaxation. It may also support emotional well-being by lowering stress and anxiety levels during the recovery period.


2. When is it safe to start postnatal massage after giving birth?


Most experts suggest waiting at least six weeks after a vaginal birth before starting postnatal massage, but this can vary depending on individual recovery and any complications. It’s important to check with your healthcare provider to ensure your body is ready for massage therapy.


3. Are there specific medical conditions or situations when I should avoid postnatal massage?


Yes, you should avoid postnatal massage if you have infections, open wounds, blood clots, or if you’re experiencing heavy bleeding or fever. Also, if you had a cesarean section, you should avoid massaging near the incision area until it’s fully healed and cleared by your doctor.


4. How can postnatal massage help with emotional changes after childbirth?


Postnatal massage may promote relaxation and release feel-good hormones like serotonin and oxytocin. This can help ease mood swings, reduce anxiety, and support overall emotional balance during the postpartum period.


5. Are there special massage techniques that are better suited for postnatal care?


Yes, techniques that focus on gentle, soothing strokes and lymphatic drainage are often recommended. These methods help reduce swelling and muscle tension without putting too much pressure on sensitive areas as your body heals.


TL;DR Postnatal massage supports new moms by easing muscle pain, reducing stress, improving sleep, and helping with breastfeeding. It also aids healing, hormone balance, and reduces swelling after childbirth. Starting massage depends on individual comfort and medical advice, especially after C-sections or complications. Using safe positions and possibly aromatherapy can enhance benefits. Avoid massage if there are infections, skin issues, or serious health conditions. Choosing a skilled therapist experienced in postpartum care ensures a safe and effective experience.


 
 
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