In this segment we are going to ask the question of how a prenatal massage therapist should look at a client and approach the prenatal massage. Prenatal Massage let’s say that a client comes to me and they are interested in receiving a prenatal massage for the first thing that I will do is I will take a look at the client. Now this client is well along in her pregnancy. She’s about seven months and I can see that she is carrying the baby high. When I talked to her, she says that she has had two previous c-sections. One the first one was a necessary c-section. The second one was because the doctor was going out of town on vacation and the baby needed to come out because of that. So we have a little bit of a complication. We’ve got the two previous c-sections and we’ve got her carrying. Hi. The next thing that I’m going to evaluate is her hips. Why is she carrying hi, are her hips too tight?

And Prenatal Massage let’s assume that this is in fact the trouble she is carrying the baby high. Her uterus is perhaps a little bit too tight and her hips are too tight and it is not allowing the baby to descend into the pelvis. Prenatal Massage what are we going to do about that? The first thing we’re going to do is we’re going to test the mom by having her do a squat test. The squat test is going to tell us what sort of tension we have. It will tell us if we have tension in the lumbars. It will tell us if we have tension in the sacrum and it will tell us if we have tension in and around the pelvic floor. Once we have done this test and we have a little bit of information, then we’re going to start working. First thing we’re going to work with during the prenatal massage is mom’s uterus.

This part of the prenatal massage is very gentle work in and has done with mom lying on her side and what we simply want to do is we want to take attention off of the uterus. We don’t want it to be constantly fighting in order to grow. In order, in order to release, we want the uterus to be able relaxed within itself and to not be pulling on other tissues around it as it grows. Prenatal Massage we will simply take the tension off and allow the uterus to relax and allow the baby to take a more natural position. Next we are going to evaluate mom’s hips. Why are they tight? Are there tight ligaments? The Perot, we are very likely to find this sort of thing. We are very likely to find that the sacrum is not moving very well between the two ilium. We are likely to find that the ilium do not move independently of one another and we are also likely to find that the pubic synthesis is not allowing movement either.

So with all this tension in the pelvis, that is a very likely reason why the baby will not descend into the pelvis and why she is carrying the baby high. So what can be done to help this tension come off? Well, the first thing that we can do during the prenatal massage is we can simply work with this. The muscles, there are deep muscles in the hips that need to let go. Some of these muscles include the PSOAS muscle. The ILIAC is muscle and the hip rotator muscles. These muscles are all responsible for rotating the hips. They are responsible for flexing the hips. If they are too tight, then they are not going to allow the hip movement that mom needs and then we are also going to work with the ligaments. There are ligaments between those, so as not the sole as there are ligaments between the ilium and the sacrum.

That can be pulling tight once we have manually released some of these ligaments. The next portion of the prenatal massage is to manually give mom’s hips some mobility. Her hips often want to do the right thing. They are ready to release, but they can’t quite do it on their own and so we will have mom laying on her side and the prenatal massage therapist will gently but firmly grasp lungs, hips and give them some mobility. This is often a very comfortable thing for a mom and she feels very, very safe and very secure and she feels like, okay, finally I’ve got some relief. Finally, my hips can do what they’ve been trying to do for so long after her hips have been released. We also want to make sure that her pelvic floor is, has the tension released as well. And Prenatal Massage for the pelvic floor work, we will also have mom laying on her side and we will first of all release the adductors.

These are the muscles on the inside of the leg that go from the pubic bone down to the knee. They’re responsible for pulling the leg in and oftentimes when there is tension in the pelvis, that tension will come right down the inside of the leg on the adductors and pull the knee in. And this is another portion of the pelvic tension that we talked about earlier. So, during the prenatal massage we’ve released the adductors doctors, we will release them all the way from the knee all the way up to the pubic bone. And then we will start to do a little bit of work with the pelvic floor. This is done always with mum clothed and with her in a comfortable position. This we will start by releasing, um, the inside of the hip capsule where there is often tension built up so that her leg can move freely so her leg is not restricted by those deep muscles inside there or the deep fascia inside there.

Then we will take some tension off of mom’s bones. There’s the bone that you sit on and the pubic bone in. Between those, there is a bone that we call a Ramus. It’s kind of like a branch between the two, and we need to take tension off of that Ramus. Once we take tension off of the bone itself, then that will automatically release some of the tension in the surrounding tissues. So if mom’s bones are doing well, then the tissues around are doing well as well. Once we’ve released the tension from that Ramus, then we will go and do some direct pelvic floor work. This has quite a bit of benefits. One of the benefits is that when mom goes to deliver the baby, she is less likely to tear if there is strength and flexibility in the pelvic floor. Also she is better able to carry her baby if her pelvic floor is strong but yet flexible and does not have the attention and the adhesions in it.

So we released the pelvic floor and then we will reassess to reassess. We’re going to have mom do that squad test again. So now that we have released the Sacrum, we have released the Ilium, we have mobility in the hips, we’ve taken tension off of the pelvic floor. Mom should feel very comfortable doing a deep squat. Again, she should not only feel more comfortable, but she should be able to do it much deeper and much more effectively. And this is really the goal that we’re looking for. How are mom’s hips going to respond during the labor process? This is indicated by the squat test. If moms can do the squat test, if her hips are responding well, then we know that the prenatal massage session has been very effective and that the therapist has done his job.