Prenatal acupuncture for labor preparation is a gentle, evidence-informed approach designed to enhance and support the body’s natural readiness for childbirth. This protocol focuses on promoting cervical ripening, encouraging optimal fetal positioning, regulating the nervous system, and supporting overall maternal resilience.

Labor preparation acupuncture typically begins at: 36 weeks gestation for uncomplicated pregnancies

• 36–38 weeks: 1 session per week • 38–40+ weeks: 1–2 sessions per week • Post-dates (40+ weeks): Every 2–3 days if appropriate Consistency is key to achieving cumulative physiological effects. acupuncture gently guiding the body over time, not triggering instant results. Each session builds on the last supporting cervical softening, calming the nervous system, and improving hormonal coordination for labor. With regular treatments starting around 36 weeks, the body becomes progressively more prepared, allowing labor to unfold more smoothly and efficiently.

• Promote cervical softening and dilation • Encourage downward movement of Qi and Blood • Reduce anxiety and regulate the nervous system • Improve sleep and energy • Support optimal fetal positioning

Point selection in prenatal acupuncture is highly specialized and based on both classical training and modern clinical experience. Certain acupuncture points are traditionally referred to as “forbidden points” during pregnancy, as they have strong downward-moving or stimulating actions. In the context of labor preparation—when the body is full-term and ready—trained practitioners may intentionally and safely incorporate these categories of points to support the body’s natural transition into labor. The approach used in this practice is informed by established prenatal acupuncture systems, including the work of Claudia Citkovich, which emphasizes timing, consistency, and the strategic use of points to encourage physiological readiness rather than force induction. Ear (Auricular) Acupuncture Ear acupuncture is often incorporated as a complementary therapy during labor preparation. Research suggests that auricular acupuncture may support: • Nervous system regulation (reducing stress and anxiety) • Pain modulation • Hormonal balance and autonomic function These effects can help create a more relaxed and receptive physiological state, which is important for the onset and progression of labor. Clinical studies have shown promising results in improving comfort and supporting the labor process when used alongside body acupuncture.

Depending on presentation, sessions may include: • Moxibustion (especially for fetal positioning) • Gentle cupping therapy to relieve muscular tension and improve circulation • Gentle bodywork or acupressure education • Breathwork and nervous system regulation techniques • Lifestyle and movement recommendations

After treatment, clients may notice: • Increased pelvic pressure or awareness • More frequent Braxton Hicks contractions • Improved sleep • Emotional release or calmness These are normal and often indicate the body is preparing.

This protocol is: • Safe when administered by a licensed practitioner trained in prenatal care • Adapted for each individual’s condition and pregnancy progression Contraindications and precautions are always assessed prior to treatment.

Research suggests that acupuncture may: • Reduce the likelihood of post-term pregnancy • Shorten duration of labor • Improve cervical readiness Clinical approaches such as those taught by Claudia Citkovich emphasize consistent weekly treatments starting at 36 weeks to support physiologic readiness for labor.

Each pregnancy is unique. Treatments are tailored based on: • Constitution (Qi, Blood, Yin/Yang balance) • Emotional state • Physical symptoms • Previous birth history

Prenatal acupuncture is not about forcing labor, but about preparing the body so that when labor begins, it can unfold more efficiently and smoothly. If you have any questions about your care plan, please feel free to ask during your session. Prepared by Laura Casasayas, L.Ac. Holistic Prenatal & Women’s Health Care