Complementary therapies in pregnancy: what to ask before you book

Massage, reflexology, osteopathy and acupuncture can feel like a treat or a lifeline in pregnancy. The NHS doesn’t say they’re all unsafe, but it does say ‘natural’ doesn’t always mean safe. Here’s how to choose carefully.

What the NHS says

Not all ‘natural’ remedies or complementary therapies are safe in pregnancy.
Some products may be low quality and contain other substances, such as lead, that could be harmful.
Tell your midwife, doctor or pharmacist if you use herbal, homeopathic or aromatherapy remedies or therapies.
If you decide to use them, always see a qualified practitioner, and tell them you’re pregnant before they discuss any treatment.
Complementary therapies can’t replace conventional antenatal care.

Check your practitioner is registered

The NHS acupuncture page says chiropractors and osteopaths must be registered by law (with the General Chiropractic Council and the General Osteopathic Council), but other complementary therapists and herbal medicine practitioners do not need to be. For anyone who isn’t legally regulated, it advises making sure they’re registered with a professional organisation, and points to the Professional Standards Authority, which lists the Complementary and Natural Healthcare Council and the Federation of Holistic Therapists as accredited registers.

Acupuncture

The NHS acupuncture page doesn’t mention pregnancy, but says acupuncture may not be safe if you take blood-thinning medicine or have a higher risk of bleeding, or if you have a skin condition or infection. Ask your midwife or GP before starting.

Aromatherapy and oils

See aromatherapy in pregnancy: which essential oils are safe.

Massage, reflexology and osteopathy

The NHS pages on these therapies don’t say whether they are safe in pregnancy. Ask your midwife or GP, book with a therapist trained in pregnancy care, tell them how far along you are and about any health conditions, and stop if anything hurts. For treatments such as hair dye, nails and tattoos, see hair dye, nails and beauty treatments in pregnancy.

Herbs and supplements

The NHS says you should not take herbal medicines if you’re pregnant or breastfeeding, and some herbal products may contain harmful substances such as lead. Ask your pharmacist, midwife or GP about any supplement or remedy. See folic acid and pregnancy vitamins.

Questions people ask

Can I have a massage while pregnant?

Ask your midwife or GP. The NHS pages don’t say, so tell the therapist you’re pregnant, and choose someone trained in pregnancy care.

Is acupuncture safe in pregnancy?

The NHS page doesn’t cover pregnancy. It says it may not be safe if you take blood thinners or have a skin infection. Ask your midwife or GP first.

Do I need to tell my midwife?

Yes. The NHS says to tell your midwife, doctor or pharmacist if you use herbal, homeopathic or aromatherapy remedies or therapies.

How do I find a registered therapist?

The NHS suggests checking the Professional Standards Authority website for accredited registers.