The Power of Massage for Pain Relief During Labor: A Trauma-Informed Therapeutic Touch Approach
Labor can be an intense and overwhelming experience, especially for those who have experienced trauma. Managing pain while staying calm and focused is essential but can be challenging. Massage, combined with therapeutic touch, offers a powerful, trauma-informed approach to easing the labor process. In this Sweet Bee blog post, we'll explore how these techniques work together to reduce pain, promote relaxation, and provide emotional safety during labor.
What is Massage? Massage involves the careful manipulation of the body’s soft tissues to reduce tension, alleviate pain, and promote relaxation. Different techniques can be tailored to the specific needs of the birthing person, whether through deep, intense massage over the lower back or light, soothing strokes known as effleurage.
Therapeutic touch complements massage by focusing on balancing the body’s energy field. As a trauma-informed approach, therapeutic touch is particularly sensitive to the emotional and psychological needs of the individual, making it a valuable tool for creating a sense of safety and calm during labor.
Why Massage and Therapeutic Touch Matter in Trauma-Informed Care For individuals with a history of trauma, labor can trigger past memories and heightened anxiety. Both massage and therapeutic touch are grounded in principles that align with trauma-informed care, such as safety, trust, choice, collaboration, and empowerment. These techniques not only address physical discomfort but also provide emotional support, helping to create a secure environment where the birthing person feels in control.
How Does Massage Work to Relieve Pain? Researchers believe that massage can relieve pain during labor through several mechanisms, closely related to the principles of therapeutic touch:
Gate Control Theory: Gentle massage floods the body with pleasant sensations, helping to block painful signals from reaching the brain. This method is similar to therapeutic touch, which aims to redirect the body’s energy to promote healing and comfort, reducing the impact of pain.
Diffuse Noxious Inhibitory Control (DNIC): Intense massage stimulates the brain to release endorphins, your body’s natural painkillers. Therapeutic touch, while more subtle, also encourages the release of tension and supports the body’s natural healing processes, which can be particularly beneficial for those who have experienced trauma.
Hormonal Balance: Massage helps reduce levels of cortisol (a stress hormone) and increase serotonin and dopamine, which are associated with feelings of well-being and relaxation. Therapeutic touch similarly supports these hormonal changes, fostering a sense of calm and emotional safety.
What Does the Research Say?
2018 Cochrane Review A comprehensive review in 2018 analyzed 14 randomized controlled trials with over 1,000 participants, finding that massage during the first stage of labor was linked to slightly lower pain scores compared to usual care. Other benefits, such as reduced anxiety, a greater sense of control, and higher satisfaction with the birth experience, were also noted—key elements in a trauma-informed approach to care.
Study from Turkey (2017) In 2017, a study from Turkey examined the effects of massage on 62 low-risk birthing people who were giving birth without pain medication. Nurses provided a coordinated massage at three key points during labor. Those who received the massage reported significantly lower pain scores—by about two points on average—compared to those who did not receive massage. Satisfaction levels were also higher among those who received massage, highlighting the importance of comfort and emotional support during labor.
Connecting Massage to Therapeutic Touch in Trauma-Informed Care Massage and therapeutic touch both aim to reduce pain, increase comfort, and enhance the overall well-being of the individual. In a trauma-informed setting, these techniques work together to provide physical relief and emotional safety, which is crucial for individuals with a history of trauma.
Integrating therapeutic touch with massage during labor helps create a nurturing environment that respects the birthing person's need for control and empowerment. This approach can ease the physical demands of labor while also offering the emotional reassurance that is so vital in trauma-informed care.
Conclusion The evidence suggests that massage, especially when combined with therapeutic touch, can be a powerful tool for managing pain and anxiety during labor. While the quality of some studies is limited, the potential benefits—such as reduced pain, decreased anxiety, and increased satisfaction—make these techniques valuable options for many.
If you’re considering massage and therapeutic touch during labor, especially within a trauma-informed framework, discuss these options with your care provider. A trained partner, doula, or practitioner can help integrate these methods into your labor plan, providing comprehensive support that addresses both physical and emotional needs.
By incorporating massage and therapeutic touch, you can create a more positive, empowered, and trauma-informed birthing experience, where your comfort and well-being are at the forefront.
References
Blankfield, R.P., Zyzanski, S.J., Flocke, S.A., Alemagno, S.A., & Scheurman, K. (2001). "Therapeutic touch in the treatment of carpal tunnel syndrome." The Journal of the American Board of Family Practice, 14(5), 335-342.
Denison, B. (2004). "Touch the pain away: New research on therapeutic touch and persons with fibromyalgia syndrome." Holistic Nursing Practice, 18(3), 142-151.
Lin, Y.S., & Gill, E. (1999). "The effectiveness of therapeutic touch on patients with chronic pain: A pilot study." Journal of Holistic Nursing, 17(4), 331-342.
Aucott, M., Buccheri, J., & Reilley, S. (2002). "Therapeutic touch in caring for the suffering patient." Nursing Clinics of North America, 37(4), 795-805.
Ireland, M. (1998). "Therapeutic touch with preterm infants: A pilot study." Journal of Pediatric Nursing, 13(5), 265-277.
Woods, D., & Diamond, L. (2002). "Therapeutic touch as a nursing intervention." Nursing Clinics of North America, 37(1), 161-167.
Adams, R., White, B., & Beckett, C. (2010). "The effects of massage therapy on pain management in the acute care setting." Journal of Pain and Symptom Management, 39(2), 169-176.
ScienceDirect. (n.d.). "Therapeutic Touch." Retrieved from ScienceDirect.
