Ladies and Gents:I have a unique perspective. ย It is never wise to make a blanket statement such as "without merit" or the like, and yet how long did it take for the medical community to admit that it would NOT bring harm to the fetus for her to raise her arms above her head? ย ย Also, I noticed that most of the posts where someone says they talked to many docs, Nurse Practictioners and CNMs, that what they didn't notice was that each of these professionals was trained in the samed "text" from ONLY the MEDICAL MODEL community. ย There are a lot of "restrictions" and "over-concern" about many things in the medical model teaching that (IMHO) have been borne out of a desire to prevent medical malpractice and not from simple trust in nature.HOWEVER, I have the distinct advaneforum.xxxe of being on both sides of this issue. ย I am both a massage therapist (for over 12 years - my lifetime if you count from the age of 8 would make it over 30 years!) as well as a midwife (still in a student training status). ย I have attended numerous births and specialize in pregnancy massage as well as advise many pregnant moms on the do's and don'ts during pregnancy. ย One of the main exercises I teach is the pelvic rock which is performed on hands and knees to IMPROVE lower back, buttock and lower abdominal strength for giving birth. ย I fully support a face forward position. ย I have, in the last 4 months, had 3 seperate moms deliver with the EASIEST births they had ever experienced. ย They recieved their massages on the Prego Pillow with the full knowledge of the OB/GYNs without any reproval. ย In fact, their OB/GYNs heartily supported the idea of massage and even supported the face forward approach with the UNDERSTANDING that no OVERT pressure was being applied to the lower back. ย When their OBs were informed that the MT was also a midwife-in-training, there was no longer even that comment being made as they knew the MT had a strong working knowledge of pregnancy, labor and delivery and would also know and exercise correct caution regarding any contraindications.I guess what I am trying to stress the most here, is that your (the attending MT) working knowledge of pregnancy, labor and delivery should be strong and the utmost care taken when having the client fill out the intake form prior to massage. ย I also will say that I do not support MT in the first trimester unless it has been cleared, in writing, by the OB/GYN and even then, it is a rare event that I will perform the massage, since I feel that the risk of releasing too many toxins into the system puts the fetus at risk for miscarriage. ย Just remember that YOUR knowledge of the inherent risks in a ย NORMAL LOW RISK pregnancy, and fetal development as well as the safety factors nature puts in place to protect the fetus is what ultimately provides YOU with the safety net for your client. ย Medical releases can be written up and signed by both the pregnant woman and her caregiver if you are truely concerned. ย Bottom line, if the client wants a face forward massage and you have the materials to provide that for her, she is low risk, and her attending caregiver (wheather it be an OB, GP, CNM, NM, or Homebirth Midwife) is aware and clears her for such, she should be accomodated.