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  4. Complementary and alternative therapies during pregnancy

Complementary and alternative therapies during pregnancy

Key facts

  • Complementary and alternative therapies are used alongside or instead of conventional (regular) medical treatments.
  • There are many complementary and alternative therapies, such as massage, acupuncture and naturopathy.
  • These may help manage issues including morning sickness, labour preparation and lower back pain.
  • Some can be helpful, but the safety and effectiveness of many complementary therapies are not well-established.
  • Talk to your doctor or midwife before starting any complementary or alternative therapies to check if they are safe and appropriate for you.

On this page

  • What are complementary and alternative therapies?
  • Why do some people use complementary therapies during pregnancy?
  • Is complementary therapy right for me?
  • What questions should I ask complementary health practitioners?
  • What types of complementary and alternative therapies are there?
  • What types of alternative medicines or supplements might I consider taking during pregnancy?
  • What other therapies are there?
  • Resources and support

What are complementary and alternative therapies?

Complementary therapies are treatments used alongside standard medical care to support wellbeing. Alternative therapies are treatments used instead of standard medical care, rather than alongside it.

Some of these treatments have proven benefits for your body and mind, but they are not part of the regular care that your doctor or midwife provides.

Alternative therapies can include:

  • acupuncture (Opens in new tab)
  • chiropractic (Opens in new tab) therapy
  • herbal supplements (Opens in new tab)
  • massage

Not all of these therapies have been proven to help. They may also be harmful if they delay or get in the way of necessary treatments.

When conventional (regular) medicine is combined with complementary therapies that have been proven to help, this is called integrative medicine. Integrative medicine is focused on lifestyle changes and provides care that puts the patient first.

Why do some people use complementary therapies during pregnancy?

Some people choose to use complementary and alternative therapies alongside their usual maternity care to help manage common symptoms and discomforts during pregnancy, labour and birth, such as:

  • symptoms of nausea, vomiting and lower back pain
  • haemorrhoids (Opens in new tab)
  • difficulties sleeping (Opens in new tab)
  • preparing for labour
  • relaxation and stress management (Opens in new tab)
  • managing pain during labour

Is complementary therapy right for me?

Check with your doctor or midwife about the safety and effectiveness of any complementary therapy and ask if they recommend you try it. You can also ask your doctor or midwife for recommendations of complementary and alternative health practitioners.

If you want to try specific therapies, your doctor or midwife can help you to understand the benefits and risks involved.

What questions should I ask complementary health practitioners?

Before you take advice from a complementary health practitioner, there are some questions you might like to ask:

  • What are your qualifications? How long have you been practising?
  • How does this treatment work? Is there evidence this treatment is effective?
  • Is this treatment safe during different stages of pregnancy? Are there changes that must be made to make it safe?
  • What risks or side effects are involved?
  • How long should this treatment be used for? How will I know if it is working?
  • What are the costs of the treatment? Can I claim the cost on Medicare (Opens in new tab) or from my private health insurance (Opens in new tab)?

When choosing an alternative or complementary health practitioner:

  • Ask your doctor or midwife for a referral or recommendation.
  • Check the Australian Health Practitioner Regulation Agency (AHPRA) (Opens in new tab) website to make sure the therapist is registered.
  • Check other national boards or associations (Opens in new tab) of complementary medicine to see if your therapist is registered.

Do not use their services if you do not feel comfortable with their answers.

What types of complementary and alternative therapies are there?

There are many types of complementary and alternative therapies available during pregnancy. Some have a strong evidence base, while others have less evidence.

Acupuncture

There is some evidence that acupuncture (Opens in new tab) during pregnancy and birth might help reduce:

  • nausea during pregnancy
  • back and pelvic pain during pregnancy
  • labour pain

If used appropriately, very few adverse (unwanted) events or side effects are associated with acupuncture. Mild pain or bruising from the needles is the most common side effect.

Only a trained person should perform acupuncture. Not all hospitals have an acupuncture therapist on staff, so you may need to discuss arranging your own practitioner.

Chiropractic therapy

There is limited evidence regarding the safety of chiropractic therapy in pregnancy. There are reports of negative effects after spinal manipulation. Before starting any treatment, your therapist will assess you to make sure it is safe to perform any manipulations.

There is some evidence that chiropractic therapy (Opens in new tab) during pregnancy might reduce lower back and pelvic pain.

Check with your doctor or midwife before making an appointment to see a chiropractor during pregnancy.

Relaxation massage

There is some evidence that massage may have positive effects during pregnancy, including:

  • reducing stress (Opens in new tab)
  • reducing symptoms of anxiety (Opens in new tab) and depression (Opens in new tab)
  • reducing leg and back pain
  • improving sleep

During labour, massage may help you manage labour pain.

Your massage therapist will take extra care to keep you safe:

  • If you have a massage while pregnant, the therapist will usually avoid massaging your abdomen (tummy) directly.
  • If you have a massage while you are lying down, it is best to be positioned on your side rather than on your front or flat on your back. Lying flat on your back from about 28 weeks of pregnancy can cause your uterus to put pressure on the large vein that runs from your legs to your heart. This can reduce blood flow to the placenta.
  • They will be very gentle when massaging your legs because you have a higher chance of developing a blood clot (Opens in new tab) when you are pregnant.

Reflexology

There is limited research regarding the safety and health benefits of reflexology during pregnancy. There are some studies that show that reflexology is probably effective and safe for:

  • labour pain
  • duration of labour
  • anxiety in pregnancy

Strong supportive evidence is not yet available. Ask your doctor or midwife before having reflexology during pregnancy.

Naturopathy

There is limited research regarding the safety and any benefits of naturopathy during pregnancy. Ask your doctor or midwife before using naturopathy during pregnancy.

Hypnotherapy (hypnosis)

There is limited research on the benefits of hypnotherapy during pregnancy. It may help with managing pain during birth.

You can safely practice hypnotherapy during pregnancy and birth, but more research is needed to fully understand if there are benefits.

Biofeedback training

Biofeedback training aims to help you recognise body signals such as heart rate (Opens in new tab) or tense muscles. This helps you to concentrate on what your body is feeling. This may help you adjust your physical responses during labour.

There is limited high-quality evidence to prove this is helpful for reducing labour pain.

Chinese medicine

Chinese medicine (Opens in new tab) uses many techniques including acupuncture, Tai Chi, Qi Gong, dietary therapy, Tuina massage and Chinese herbal medicine.

There is limited research regarding the safety and any benefits of Chinese herbal medicine during pregnancy.

Ask your doctor or midwife before using Chinese medicine practices during pregnancy.

Osteopathy

There is some evidence that osteopathic manipulations (Opens in new tab) during pregnancy might reduce back pain.

There is limited evidence regarding the safety of osteopathy in pregnancy. Your therapist will assess you to make sure it is safe to perform any manipulations.

Transcutaneous electrical nerve stimulation (TENS)

TENS uses small electric pulses to help relieve pain in pregnancy. TENS therapy is considered safe in all 3 trimesters of pregnancy.

What types of alternative medicines or supplements might I consider taking during pregnancy?

Certain vitamin and mineral supplements are recommended by health professionals during pregnancy. Depending on your situation, these may include:

  • iron (Opens in new tab)
  • folate (folic acid)
  • calcium
  • iodine (Opens in new tab)
  • vitamin D (Opens in new tab)
  • vitamin B12 (for vegetarians)

If you are interested in taking vitamins, minerals or herbal supplements during pregnancy, discuss them with your doctor or midwife first. Some vitamin and mineral supplements are important for your and your baby's health, but others can be harmful to take during pregnancy.

Herbs

Herbal preparations commonly taken during pregnancy, often in the form of herbal teas, include:

  • raspberry leaf — usually taken during the last trimester to prepare the body for birth
  • peppermint — to help with nausea
  • chamomile — for its relaxing effect

Herbal medicines, although natural, are not necessarily safe — especially during pregnancy. They can contain substances that can affect your baby.

Many herbal medicines do not have evidence to support their safety or effectiveness. Ask your doctor or midwife about any herbal preparations you plan to take.

Homeopathy

Homeopathy (Opens in new tab) is based on the idea that a tiny dose of a substance thought to cause symptoms in a healthy person can treat those symptoms in someone who is unwell.

There is currently no reliable evidence that homeopathy is effective for any health conditions.

What other therapies are there?

Some complementary therapies (Opens in new tab) are no longer claimable on private health insurance. This means you would have to pay the full fee for treatments including:

  • Alexander technique, Feldenkrais method, kinesiology
  • aromatherapy
  • Bowen therapy, reflexology, shiatsu
  • Buteyko
  • western herbalism, homeopathy, naturopathy
  • iridology
  • Pilates (Opens in new tab), tai chi, yoga

Resources and support

Some types of complementary therapy practitioners are registered with the Australian Health Practitioner Regulation Agency (AHPRA) (Opens in new tab). Registered health practitioners are required to meet national quality and safety standards of care. Check if your complementary health practitioner is registered with AHPRA.

Read more about complementary medicines on the NPS MedicineWise website (Opens in new tab).

Natural Therapies Review (Opens in new tab) advises which therapies you can claim on private health insurance.

The Royal Women's Hospital provides advice on herbal medicines in pregnancy and breastfeeding (Opens in new tab).

Speak to a maternal child health nurse

Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 (Opens in new tab) or video call. Available 7am to midnight (AET), 7 days a week.

  • Women and Birth — Complementary medicines and therapies in clinical guidelines on pregnancy care: A systematic review (Opens in new tab)
  • Healthcare — Benefits of Complementary Therapies During Pregnancy, Childbirth and Postpartum Period: A Systematic Review (Opens in new tab)
  • Australian Living Evidence Collaboration — Australian Pregnancy Care Guidelines (Opens in new tab)
  • BMC Complementary Medicine and Therapies — Use of complementary and alternative medicine in pregnancy and labour pain: a cross-sectional study from turkey (Opens in new tab)
  • RACGP — Submission to the Medical Board Australia Public consultation paper: Complementary and unconventional medicine and emerging treatments (Opens in new tab)
  • Canberra Health Literacy Hub — Complementary and Alternative Therapies (Opens in new tab)
  • Women and Birth — Acupuncture during pregnancy and the perinatal period: Women's attitudes, beliefs and practices (Opens in new tab)
  • Pregnancy Massage Australia — Massage Therapy and the Third Trimester of Pregnancy (Opens in new tab)
  • Journal of the Canadian Chiropractic Society — Adverse events from spinal manipulations in the pregnant and postpartum periods: a systematic review and update (Opens in new tab)
  • Journal of Clinical Medicine — Effects, Side Effects and Contraindications of Relaxation Massage during Pregnancy: A Systematic Review of Randomized Controlled Trials (Opens in new tab)
  • Cochrane Australia — Systematic review of evidence on the clinical effectiveness of reflexology (Opens in new tab)
  • Complementary Therapies in Clinical Practice — The role of naturopathy in pregnancy, labour and post-natal care: broadening the evidence-base (Opens in new tab)
  • Journal of Midwifery and Womens Health — Homeopathy: A State of the Science Review With Recommendations for Practical Therapies in Midwifery Practice (Opens in new tab)
  • American Journal of Obstetrics and Gynecology — The use of Chinese herbal medicines throughout the pregnancy life course and their safety profiles: a population-based cohort study (Opens in new tab)
  • The Journal of Manual and Manipulative Therapy — Spinal manipulation and adverse event reporting in the pregnant patient limits estimation of relative risk: a narrative review (Opens in new tab)
  • Pharmaceutics — Herbal Medicines - Are They Effective and Safe during Pregnancy? (Opens in new tab)
  • The Journal of Perinatal Education — Transcutaneous Electrical Nerve Stimulation: An Overview (Opens in new tab)
  • Department of Health, Disability and Ageing — Natural Therapies Review 2024 (Opens in new tab)
  • Healthcare (Basel) — Understanding Traditional Chinese Medicine Therapeutics: An Overview of the Basics and Clinical Applications (Opens in new tab)
  • Royal Australian and New Zealand College of Obstetricians and Gynaecologists — Vitamin and mineral supplementation and Pregnancy (Opens in new tab)

Find out how we develop and review our content.


Last reviewed: December 2025

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