For those women with prenatal complications or with high-risk pregnancies, extra care and consideration needs to go into their massages. Their doctor will know whether or not their condition contraindicates all massage or merely limits the techniques and positioning options for massage. If your client has any of the following conditions, make sure that her doctor is comfortable providing you with a written release and any appropriate recommendations in accommodating her special needs: PIH disorders such as hypertension and eclampsia, which is also known as preeclampsia or toxemia; Gestational Diabetes; IUGR/SUR; or placental abnormalities.
Women with a high-risk pregnancy need to take the same care in consulting with their doctor. Again, always have the doctor furnish you with both a release and their recommendation if any of the following factors apply to your client’s pregnancy: mother’s age is under 20 or over 35; a history of complications in previous pregnancies; three or more consecutive spontaneous abortions (miscarriages); multiple gestation; maternal illnesses including diabetes mellitus, chronic hypertension, or cardiac/renal/connective tissue/liver disorders; Rh-negative mother; genetic problems including DES; other uterine abnormalities; fetal genetic disorders; or drug or other hazardous materials exposure.