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PERSONALISED PREGNANCY MASSAGE

An Individually tailored Treatment suitable throughout all stages of Pregnancy from 1st Trimester~ 3rd Trimester. Time for you and your developing Baby to enjoy a bit of *us* time. Step off the treadmill of life. Put your feet up and RELAX. ………………………………………………………………..…………………………………………………………… This wonderfully Nurturing and Supporting Massage helps you to connect with your developing baby, both physically and emotionally, starting the wonder and joy of the all important Pre-Natal bonding process. Often in these busy times Mums to be, haven't had the time to really slow down and make this energetic connection, this is your time now. This Treatment Aids and Supports your changing Circulation and Digestion, Encourages Quality Relaxation good Breathing Techniques and Promotes general Well Being. Helping to ease those niggling aches and Pains that naturally occur as your body changes with the growing baby within. ………………………………………………………………..…………………………………………………………… During the treatment you will learn: *How to connect with your baby. *The signs and symptoms to become aware of that may indicate referral back to your Primary Care Provider. *How to ease Hypertonic (over stretched) Abdominal and Back Muscles. *Why it is important not to be too sedentary throughout your pregnancy, particularly during the third trimester. *The safest ways to move and keep supple, supporting your changing postural requirements. *How to Perform Gentle Supporting Exercises with or without your Partners’ help and support throughout all 3 trimesters. *The Best positions to give the baby more room to freely move around in the growing uterus. ………………………………………………………………..…………………………………………………………… Some comments from previous clients: “ I couldn't believe how relaxed I felt following this treatment I’m so glad I came” KLB “I hadn't realised before I came how manic my life had been at work and that I hadn't really made that connection to my baby yet. I think I’ve almost been in denial that she is on her way, and she's due to arrive in a few weeks!” KI “Oh my Gosh that feels amazing” CB ………………………………………………………………..………………………………………………………………..……………………………………..………

L’Hirondelle Health & Therapy Centre - Est 1976

Mrs SM Calvert M.I.F.R M.I.I.R M.A.B.Thc C.I.D.E.S.C.O

66 Pingle Road, Millhouses, Sheffield, S7 2LL

Tel: 0114 236 8 559, Email: Sue@thebabymaker.co.uk, Web: www.thebabymaker.co.uk

L E T T H E R A D I A N T Y O U S H I N E T H R O U G H

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Name Partners Name.

Address

Contact numbers Home/Work/Mobile.

E.mail address.

Date of Birth

Occupation Partners Occupation

Please turn o� your mobile phone or place in silent mode to enable you to fully immerse yourself in the treatment. Thank you.

How far into your pregnancy are you today?

When did you last visit your Primary Health Care Provider?

When did you last have your Blood Pressure Checked?

Was your BP within a normal Range?

Have you had any Previous Pregnancies?

How was the Labour/ Birth?

Do you have a Birth Plan in place?

Are you having a planned caesarean Birth?

Are you in any pain? Which areas? When do most often feel any pain?

Have you had any Vaginal Bleeding?

Have you experienced any Dizzyness?( when)

Are you su�ering with Nausea?

Do you have any Varicose Veins, Haemorrhoids,Leg Cramps or numbness?

Do you have any history of Stroke, DVT or clotting issues ?

Are you currently on any Medication?

How are you feeling emotionally at the moment?

Are you sleeping well?

How are you when you Turn over during the night?

Do you have any other concerns you would like to discuss today?

PREGNANCY MASSAGE INTAKE FORM

L’Hirondelle Health & Therapy Centre - Est 1976

Mrs SM Calvert M.I.F.R M.I.I.R M.A.B.Thc C.I.D.E.S.C.O

66 Pingle Road, Millhouses, Sheffield, S7 2LL

Tel: 0114 236 8 559, Email: Sue@thebabymaker.co.uk, Web: www.thebabymaker.co.uk

L E T T H E R A D I A N T Y O U S H I N E T H R O U G H

PAGE 2

In what Positions are you most comfortable?

In what positions are you most uncomfortable?

Which side are you most comfortable lying on?

Do you have a preference as to which side you would like to conclude the treatment on in order for you to relax completely at the end of the treatment?

Do you know the position of your Baby?

Are you comfortable with me touching your Abdomen directly?

Having discussed this with you today, are you happy to proceed with The Pregnancy Massage.

Do you have any questions or concerns regarding the treatment?

Please feel happy to give me feedback during the treatment. This treatment is designed speci�cally for you today and my aim is for you to feel calm comfortable and completely at ease in order to Fully Relax.

Please be aware that this treatment is not a substitute for Medical Treatment.

Please keep your Therapist informed of any changes, be they emotional or physical.

Please contact your Primary Health Care Provider if you experience any of the symptoms listed below.

Heavy Vaginal Bleeding

Extreme Cramps or Contractions that don't abate with rest.

Extreme swelling of the Extremeties, Face or Eyelids.(a little swelling is normal in pregnancy)

Extreme Headaches or Visual Disturbance

Extreme Itching of Hands and Feet(a little itching is considered normal)

Problems passing Urine.

Client to sign and con�rm I have discussed the questions above and given a clear explanation of the treatment we are about to perform.

Client Signature

Therapist Signature.

Date.

Your expected due date: