Treating the Pregnant Person:
Creating a Safe Clinical Setting

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Perinatal Series

Ensure a fulsome understanding of the unique treatment needs of the perinatal client through our ongoing series of Perinatal courses.

Reach New Clients

Become adept in new areas of practice to reach perinatal client populations.


Comprehensive and high-quality training from renowned Trimesters: Massage Therapy Education in a format adapted to your own pace and schedule.


This course examines effective, safe positioning and pillowing for the pregnant client in each trimester. It also looks at additional considerations for creating a safe clinical setting, such as health status, gestational age, systemic circulatory issues, pressure, and hydrotherapy. This training is a collaborative creation between Trimesters: Massage Therapy Education and Dexterity Professional Development.


In this course, you will learn:

  • Effective and safe positioning for the pregnant person.
  • Supportive pillowing to provide therapeutic boundaries in all positions.
  • Health considerations that impact the safety of the clinical setting, including general health history, trimester/gestational age, and circulatory issues.
  • Technique considerations for the safety of the pregnant client, including selection of techniques, pressure and depth of techniques, and the application of hydrotherapy modalities.

Dexterity Professional Development submits courses for approval to regulatory colleges and associations across Canada. Timelines vary and courses are submitted on a rolling basis. As approvals are granted, this section is updated. Remember to check back often!

Canadian Massage & Manual Osteopathic Therapists Association (CMMOTA) 1 CEC
College of Massage Therapists of Prince Edward Island (CMTPEI) 1 CCP Hour
Natural Health Practitioners of Canada (NHPC) 5 CCP

Under the CMTO’s new Quality Assurance Program (STRiVE), courses are no longer granted approval by the CMTO. It is up to the learner to demonstrate that a course is relevant to their learning goals and the STRiVE competencies. We have provided the description below to help the learner link the course to the STRiVE competencies. A course is often related to more STRiVE competencies than those listed.

The competencies below are established in the CMTO continuing education guidelines. This course addresses the competencies in many ways, including those described below.

Work within areas of personal knowledge and skills. This course provides the RMT with the opportunity to fill gaps in knowledge about treating pregnant persons, so that they can confidently prepare and maintain their treatment space, assess their client, and know when to modify or refer, position and support their client, and apply safe, effective techniques.

Function in a client-centred manner. This course strengthens the RMT’s client-centred approach to treating pregnant persons. It explores safe, effective, and supportive positioning and pillowing throughout each trimester, and taking client preferences and pregnancy symptoms into account. It details health considerations that affect the assessment, treatment plan and application, and the clinic setting, ensuring that the client is safe, feels safe, and receives effective treatment.

Practice in a self-reflective manner. This course enables the RMT to better serve their pregnant clients. The RMT that takes this course has reflected upon their practice and their decisions and recognizes where knowledge should be enhanced. Through taking this course, the RMT draws on external information to achieve continuous learning and quality improvement.

Use an evidence-informed approach in your work. This course was developed based on current evidence and research in conjunction with the owner of Trimesters: Massage Therapy Education, Cindy McNeely. Cindy has been an RMT in the field since 1985 and co-founded Trimesters: Massage Therapy Education in 1995. The Dexterity PD promise is to evaluate every course on a biannual basis to ensure any developments or changes in the profession are reflected in course content. Thus, RMTs who take this course and adopt its recommendations can be assured that they are practicing in a manner consistent with current developments. A resource list is included in the downloadable guide to every course so that RMTs can conduct further research and/or confirm course findings. Any treatment recommendations are based on this research and the opinion and experience of the RMT who developed the course. All course content and recommendations have been evaluated by two additional RMTs to affirm the accuracy of the content. For more details, please see Our Quality Control Process.





This course has been created in collaboration with Trimesters: Massage Therapy Education.

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MTs Enjoying Dexterity Professional Development