Safe with Proper Modifications
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Lymphatic drainage massage (LDM) is gentle and focuses on improving circulation and reducing swelling, which makes it quite beneficial for many pregnant clients — especially in the second and third trimesters when fluid retention becomes more noticeable.
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However, it should only be performed by a Registered Massage Therapist (RMT) who is trained in prenatal massage techniques and understands pregnancy anatomy and contraindications.
Trimester Guidelines
First Trimester (0–13 weeks):
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Massage, including LDM, is generally avoided during the first trimester unless approved by your doctor or midwife.
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The reason is not that massage itself is unsafe, but because this is the most delicate stage of pregnancy when miscarriage risks are naturally higher.
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If massage is approved, the therapist must use very gentle pressure and avoid abdominal areas and deep work.
Second Trimester (14–27 weeks):
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This is usually the safest and most comfortable time for lymphatic drainage.
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It can help relieve swelling in the legs, feet, and hands, and promote relaxation.
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You’ll usually be positioned on your side or in a semi-reclined position for comfort and safety.
Third Trimester (28+ weeks):
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LDM can continue safely with proper positioning and caution.
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It’s often recommended to help manage fluid retention, fatigue, and circulation issues common late in pregnancy.
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Again, the therapist will avoid any deep abdominal or reflex zones that may stimulate uterine contractions.
Avoid or Consult Your Doctor If You Have:
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High-risk pregnancy
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Preeclampsia or gestational hypertension
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History of blood clots or DVT
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Severe swelling in only one leg (could indicate circulation issues)
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Fever or infection
Benefits of Lymphatic Drainage During Pregnancy
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Reduces swelling and water retention
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Improves lymph and blood circulation
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Supports immune function
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Promotes relaxation and reduces fatigue
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