37 weeks pregnant one foot more swollen

Swelling during pregnancy | Pregnancy Birth and Baby

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Most women get swollen ankles and feet while pregnant. It’s natural to have concerns about swelling since it can be uncomfortable, make your shoes tighter and possibly make you feel embarrassed. Knowing what to look for and how best to manage it can help you stay as comfortable as possible.

Why do women experience swelling during pregnancy?

There are 3 main reasons women experience swelling while pregnant.

• Throughout pregnancy, you produce more blood than usual to help your baby grow.
• As the baby grows, your uterus presses on and slightly blocks the veins that return blood from your legs to your heart.
• Your hormones make the walls of your veins softer, which makes it harder for them to work properly.

For these reasons, your blood tends to pool in your legs. There, a small amount of blood leaks through tiny blood vessels into the tissues and produces the swelling you can see and feel.

Where and when will I get swelling?

The swelling should be only in your feet and ankles. Your fingers might get a little larger — enough to make any rings feel tight — but they shouldn't be obviously swollen.

Your feet and ankles are likely to swell later in the day. This is mainly due to gravity — any extra fluid in your body will sink to your feet and ankles, especially if you spend a lot of time on your feet.

Swelling is also more likely to happen later in your pregnancy.

Gradual swelling isn't harmful to you or your baby, but it can feel uncomfortable.

How can I reduce swelling?

Some simple things can help you feel more comfortable and can also aid in preventing swelling.

Try to:

• avoid standing for long periods without moving
• wear comfortable shoes (avoid tight straps or anything that might pinch if your feet swell)
• put your feet up as much as you can
• limit salty foods and excessive salt in your diet
• sleep on your left side, which will help blood return to the heart
• exercise regularly by walking or swimming — this helps keep your circulation going

If you need to stand for long periods, try to move around and change position regularly.

Compression stockings can help the blood flow back to the heart and limit how much swelling you get. Massage and reflexology might also help reduce swelling and associated symptoms.

Even if your swelling is bothering you, remember to still drink plenty of water. Keeping your fluids up is important to avoid dehydration and stay healthy.

Normal or abnormal swelling?

Most pregnant women have swollen feet and ankles at some point, and this is perfectly normal. However, there are times when swelling could indicate something more serious.

Contact your midwife, doctor or hospital immediately if:

• swelling is there at the start of the day or doesn't go down when you rest
• your face or hands are swollen
• the swelling is more than you have had before

These are warning signs for pre-eclampsia, which is high blood pressure caused by pregnancy. This is a very serious condition both for you and your baby, so call your doctor or midwife as soon as possible. Don't wait for your next regular appointment.

If one leg is more swollen than the other, this could suggest a more serious problem with one of your veins, such as deep vein thrombosis. Again, contact your doctor or midwife as soon as possible.

Most swelling is a normal part of pregnancy and will usually go away after you've given birth. However, if you're concerned about anything, no matter how small or seemingly insignificant, talk to your doctor or midwife.

You can also call Pregnancy, Birth and Baby on 1800 882 436 to talk to a maternal child health nurse.

Sources:

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: February 2020

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Related pages

• Common discomforts during pregnancy
• Varicose veins
• Leg cramps during pregnancy

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When to worry about swelling during pregnancy

Puffy ankles and feet are normal during pregnancy, but can sometimes signal more serious problems. Learn what to look for, and how to keep edema in check.

First-time mom-to-be Sarah Mahimwala was shocked to look down one afternoon during a heat wave this past July and see that her feet were dramatically swollen and had ballooned in size.

“I couldn’t see my tendons or ankle bones, even when I flexed my toes,” she says. “I was shocked.” Although some swelling during pregnancy, called edema, isn’t usually cause for alarm, it’s important to keep an eye on your symptoms.

Edema (or swelling) in the hands, feet and ankles is very common (especially during the heat of summer). Puffiness in the face and neck can also occur—especially after the 20th week, says Andree Gruslin, interim chair of obstetrics and gynecology at the University of Ottawa and Ottawa Hospital. “Virtually every woman will experience it to some degree.”

Changes in blood chemistry cause some fluid to shift into your tissues, and by the third trimester, the weight of your uterus puts so much pressure on your pelvic veins and the vena cava (the large vein on the right side of your body that carries blood from your legs and feet back up to your heart), that blood can pool, forcing fluid retention below the knees.

Edema accompanied by certain other symptoms can signal more serious underlying problems. Be on the lookout for more swelling in one leg than the other, accompanied by pain, which can signal a possible blood clot. A headache that won’t go away, along with vision changes (like blurriness or sensitivity to light), can be signs of preeclampsia (pregnancy-specific high blood pressure), and swelling accompanied by chest pains or difficulty breathing could mean heart trouble. Contact your health-care practitioner immediately if you experience any of these additional red flags.

As common as run-of-the-mill swelling may be, getting used to unsightly cankles and brick-like feet that no longer fit into your shoes is another story. “I’m down to one pair of ballet flats and even they’re starting to feel tight,” confesses Stephanie Plow, who’s in her eighth month of pregnancy. “I don’t know what I’m going to wear for the next few weeks.”

Despite the relentless puffiness, Plow has been doing the right things to keep swelling under control, as much as possible. “I prop my feet up on a box under my desk at work, get up and walk around as much as I can, and try to drink lots of water,” she says. “I think it’s been helping a bit.”

Massage therapy, swimming and not crossing your legs are additional ways you can ease signs of edema. But don’t bother slashing your salt. “It’s a myth that sodium has anything to do with it,” says Gruslin. You may hear that increasing your potassium intake can help, but Gruslin says this is also an ineffective pregnancy legend. “I don’t recommend compression socks, either; they’re too difficult to get on and off, and can be uncomfortable.”

So when will the swelling finally subside? “Within about 24 hours after delivery, most women will notice a big difference,” says Gruslin. “In the meantime, just remember that what you’re experiencing is normal and try not to worry about it too much. Take advantage of this opportunity to put your feet up—while you still can.”

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FILED UNDER: Being pregnant health service seo Maternal health Pregnancy Steps and Stages

what to do if legs and arms swell during pregnancy

Edema during pregnancy, few people manage to avoid. According to various sources, only a fifth of future mothers are lucky. For the rest, this unpleasant phenomenon causes a lot of moral and physical suffering. What to do? Let's try to explain.

What is edema?

Edema is an excess of fluid in the tissues. The place where it accumulates looks swollen, puffy. In the early stages, the problem is almost imperceptible or it does not exist at all, which cannot be said about edema during pregnancy in the second and third trimesters.

Pay attention! Hot flashes during early or late pregnancy and swelling are two different things! In the first case, we are talking about a sudden fever (less often chills), and not about the accumulation of fluid.

Why pregnant women have swollen legs

In fact, understanding the cause of edema is very important, because they are both natural and pathological. The latter are quite rare, but are the causes of severe violations.

Natural or physiological edema during pregnancy begins due to a changing hormonal background, when sodium salts linger in the tissues and do not go away. In another version, the growing uterus, while the woman is lying, occludes the inferior vena cava and does not allow blood to leave the femoral veins.

Pathological swelling during pregnancy may indicate the presence of:

Types and features of edema

Edema begins in the lower extremities and gradually moves up to the face. We’ll talk about the dangers of edema during pregnancy a little later, but for now it’s worth understanding if there is any difference between them at different times. Note that we will talk about pathological situations when the accumulation of fluid exceeds the norm by 30%.

Early

Edema is not as common in early pregnancy. The weight of the child and the volume of the uterus are not yet so large as to interfere with the full functioning of the body. However, if they occur, then you should pay the attention of your doctor to this, since such deviations may indicate serious illnesses. In particular:

• hypothyroidism - insufficient production of thyroid hormones.
• kidney problems - that is why it is very important to take urine for analysis every two weeks.

Second trimester

In the middle of pregnancy, this pathology can signal the onset of varicose veins, in which case the doctor will send the woman for a consultation with a phlebologist.

Another pathology that causes the disease is heart failure. The disorder is also accompanied by shortness of breath and cyanosis of the mucous membranes. Such problems will have to be treated together with a cardiologist.

But a much bigger problem when carrying a baby is preeclampsia. Its onset can be seen already at 18-20 weeks, although the disease is gaining full strength in the third trimester. It will only have to be treated in a hospital.

Late term

Here it is worth dwelling in more detail on gestosis. So called late toxicosis. Together with edema, a woman is tormented by high blood pressure, nausea, vomiting, convulsions, drowsiness, weakness, fever, or excessive emotional arousal, which affects the physical condition.

The condition has four levels of severity:

Case study:

A woman was observed in our hospital with complaints of severe swelling of the legs during pregnancy. The lower limbs were indeed swollen, which was noticeable to the naked eye. During the survey, it turned out that the woman's blood pressure began to rise regularly. Since she was already in her 3rd trimester, the patient was recommended to immediately go to the hospital for preservation and additional examination. As a result, the patient was diagnosed with preeclampsia.

How to get rid of swelling during pregnancy

Physiological edema can be prevented or at least reduced. For this you need:

• reconsider your diet - there should not be fried, smoked, salty or spicy.
• treat water more carefully - drink only clean, non-carbonated and, preferably, most of it before lunch.
• less to be in the heat and in stuffy rooms - you will certainly want to drink.
• wear comfortable shoes.
• lie down daily for about half an hour so that the legs are located above the head.
• walk more - light physical activity is good for everyone, but in this case there is a need for the approval of a doctor.

Your doctor may give you other recommendations. It is important to take into account all the factors of pregnancy and choose the most effective therapy within the given framework. Our doctors can advise you remotely and draw up the right treatment regimen.

FAQ

Swollen legs during pregnancy - how to fix?

+

You need to discuss this with the doctor who manages the pregnancy. Edema can be both physiological - then you will simply be given a number of recommendations for their elimination, and pathological - when it comes to certain disorders in the body.

What is "internal edema" during pregnancy?

+

Internal or hidden edema during pregnancy is invisible externally. Here we are talking about swelling of the internal organs. A violation is calculated by exceeding the norm of weight gain in the last terms.

How to eliminate swelling at 37-39 weeks of pregnancy?

+

Follow the recommendations of the doctor and, if necessary, undergo a course of treatment. In any case, your doctor will answer all questions in more detail. Do not self-medicate.

We publish only verified information

Article author

Menshikova Maria Viktorovna obstetrician-gynecologist

Experience 38 years

Consultations 1816

Articles 46

Specialist with extensive practical experience. He has a certificate of a mammologist, a certificate of professional certification. Participates in foreign business trips and individual training programs (Los Angeles).

• 1982 - 1986 NPO MONIIAG - obstetrician-gynecologist
• 1987 - 1989 VNITs OZMIR - obstetrician-gynecologist
• 1989 - 1992 departmental polyclinic st. Moscow - Kurskaya - obstetrician-gynecologist
• 1992 - 2001 NPO MONIIAG - obstetrician-gynecologist
• 2007 - 2008 NP KMIKM - doctor administrator
• 2009 - 2013 Pereslavl Central District Hospital, women's consultation - obstetrician-gynecologist
• 2020 to present Teledoctor24 LLC - doctor - consultant (gynecologist)

reasons, what to do, how to reduce

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Contents:

1. Is swelling during pregnancy normal?
2. Where can edema appear?
3. How to detect edema?
4. Are swelling during pregnancy dangerous?
5. How to reduce swelling during pregnancy?
6. If swelling disappears during pregnancy, is it good?

Pregnancy is a happy time in anticipation of a miracle, but even it has a few "fly in the ointment" that few people manage to avoid. Perhaps the most famous of them are toxicosis, digestive problems, back pain and, of course, swelling. Why do pregnant women swell? By what signs can you understand that it is time to start treatment? What can be done to prevent or reduce swelling? Let's discuss the causes and consequences.

Is swelling during pregnancy normal?

More likely yes than no. The key causes of edema during pregnancy are an increase in fluid in the woman's body and a high level of progesterone ¹ . This hormone begins to be actively produced even during ovulation, preparing the uterus for egg implantation. Its concentration remains consistently high in a woman's blood throughout pregnancy, providing many important functions associated with fetal development. Unfortunately, it has such a side effect.

Interesting fact

Many women report swelling before menstruation ² . It's also progesterone. The hormone level rises in the second half of the menstrual cycle, which leads to this result.

The fact that one of the causes of edema during pregnancy is the production of a very important hormone does not mean at all that you need to accept this situation with humility. It all depends on the severity of the condition: slight swelling in pregnant women is almost inevitable, but if they become significant, it is worth thinking about treatment.

What other changes appear in the body during pregnancy, read here.

Where can edema appear?

Edema during pregnancy is most often localized on the feet, ankles and lower legs. The reasons are clear: excess liquid first collects at the very bottom - where gravity pulls it. Usually everything starts with pastosity - mild swelling with blanching and a decrease in skin elasticity.

The next favorite place for pastosity and swelling is the hands. Also, excess fluid often leaves a mark on the face, along with edema, nasal debt may appear - the so-called "pregnant rhinitis" ³ .

Important to know!

Most people consider cold drops and sprays to be among the most harmless medicines. Just not during pregnancy - many of them are dangerous for the fetus ⁴ ! Be sure to consult your doctor before treating a runny nose.

And even in the early stages of pregnancy, a woman's body temperature rises to a more comfortable fetus - just above 37 ° C. This does not mean at all that you have caught a cold or caught a virus. To learn more about basal temperature, read our article.

How to detect swelling?

Severe swelling during pregnancy is hard not to notice. When puffiness is not so pronounced, especially if the accumulation of excess fluid occurs slowly, the following signs will help to detect them:

• There is a suspicious weight trend. If you follow the diet recommended by your doctor, but the weekly weight gain exceeds the norm for this period of pregnancy, most likely water is retained somewhere in the body.

• Rings get stuck on the fingers, tight shoes. Signs of pastosity during pregnancy are easiest to detect by things picked up by hand or leg - they begin to press. By the way, it is better to remove the rings while there is such an opportunity.

• The face is rounded. Every day you see your face in the mirror and you will surely notice if its forms begin to blur, smooth out.

• There are traces of rubber bands. Many women today wear "footprints" - short socks that are almost invisible from the shoes. Perhaps the high "classic" is not so elegant, but it is an excellent tool for the early diagnosis of edema during pregnancy. If their elastic bands leave embossed marks on the legs, it means that excess fluid is collecting in the tissues.

• There are unusual sensations in the fingers. If you feel tingling, burning, or numbness in your fingers, if there is pain or tension when you bend your fingers or step on your toes, it is most likely a sign of swelling.

Is swelling during pregnancy dangerous?

Edema is an excess accumulation of fluid in tissues ⁵ . As you can see, in this definition there is no clarification “in the tissues located directly under the skin”, internal organs can also swell. Often, swelling of the arms, legs, face in pregnant women is just the tip of the iceberg. Hidden from the eyes, internal stagnation of water can cause dysfunction of organs, general dehydration, and impaired oxygen transport. Ultimately, this can threaten the fetus with an insufficient supply of nutrients and oxygen starvation. Severe swelling during pregnancy affects not only the beauty of the expectant mother, but also the health of her baby.

Medicine divides edema during pregnancy into physiological and pathological. The former refers to almost inevitable changes associated with a hormonal shift and a general increase in fluid circulating in the body. The latter are a sign of various internal problems, such as kidney disease, heart failure, varicose veins, preeclampsia (late toxicosis) and others. Physiological edema usually does not require treatment - to reduce them, it is enough to follow a healthy lifestyle. In pathological cases, it is necessary to find the cause and eliminate it.

Your doctor will be able to distinguish physiological from pathological edema based on the results of the examination and tests. In particular, the presence of protein in the urine is an alarming sign. Between visits to the doctor, you yourself can suspect a pathology if the edema grows too quickly, starts to rise above the shins, and when you press on the swollen places, dents remain on the skin, which slowly resolve.

What else can go wrong while carrying a baby? Watch a video lesson on the pathologies of pregnancy from the fertility specialist Anna Ilyina.

How to reduce swelling during pregnancy?

Pharmaceutical treatment is the last resort and is used only in extreme cases. Usually it is enough to adjust the lifestyle and acquire a few good habits. We'll give you 12 simple tips to help reduce water retention ¹ .

• Observe the regime of the day. Try not to overwork during the day and have a good rest. The duration of sleep during pregnancy should be at least 8 hours, and if your body has such a need, even 9-10 hours.

• Walk more. Your assistants in the treatment of edema during pregnancy are fresh air and reasonable physical activity. If in ordinary life you are used to walking only from the elevator to the parked car and back, something needs to be done about it.

• Wear comfortable shoes. Even if you really love high-heeled shoes, even if you have complexes without them because of your own height, you will have to give them up for a while. Uncomfortable shoes exacerbate swelling during pregnancy, and soft shoes with low heels help fight it. If your feet still hurt at the end of the day, visit an orthopedic salon and ask a specialist to make custom insoles for you.

• Change your posture more often. When your body becomes numb, it swells. Try not to sit or stand without moving for a long time. Both at work and at home, periodically leave your favorite chair to stretch a little. And while you are sitting in it, do not freeze in one position - move your arms and legs, change the position of your body.

• Let's rest our feet. To prevent swelling in the legs, it is necessary to periodically raise them higher. So you facilitate the work of the circulatory system and allow it to pump out a little excess fluid from the legs. It is ideal to lie on your back with your legs up, but even if you just put them on a nearby chair during lunch in a corporate kitchen, this is not bad.

• Exercise. In the fight against puffiness during pregnancy, simple physical exercises are useful - tilts, turns, etc. Statics will also help: kneel, then lower yourself on your elbows, stand in this position for 5 minutes. Yoga classes for pregnant women also allow you to disperse the fluid.

• Lie on your side. In late pregnancy, your body itself will tell you the correct position for rest - lying on your side. In the early stages, it is also the most useful: in this position, the kidneys work most efficiently, utilizing excess water.

• Drink, and do not limit yourself in this. You might think: the less I drink, the less swelling there will be. No, you can't drive them away like that, but getting dehydrated is easy. Drink as much as you want, but only clean water, fruit drinks or decoctions without sugar. Soda, juices from the store and other sugary drinks should be excluded from the diet.

• Observe nutritional balance. During pregnancy, eat more protein foods, avoid pastries, bread, sweets and other carbohydrate-rich foods, limit the amount of fat in the diet. Completely give up "empty calories" - snacks and fast food.

• Arrange fasting days. Treat yourself with a diet once a week. It's not about sitting on the water all day. There are many recipes for a tasty and quite nutritious "unloading" - from a kefir or banana diet to a chicken breast day or fruit smoothies.

• Control your sodium intake. Sodium salts hold fluid in tissues, and the most famous of them is ordinary table salt. To prevent severe swelling during pregnancy, limit your daily salt intake to one level teaspoon, even less is better. When calculating, do not forget that salt enters the body not only from the salt shaker. It is found in many food ingredients (meat, fish, dairy products, tomatoes, etc.), and in almost all semi-finished and finished products - from sausage to bread. Over time, you may even come to love the natural taste of food without or with minimal salt added - it is quite good.

• Take natural diuretics. Rosehip, hawthorn, chamomile, lingonberry, bearberry - in the pharmacy you can find a lot of natural remedies to combat edema. Discuss the purchase with your doctor: during pregnancy, you should consult with him before taking any medications, even herbal ones.

Compression stockings ⁶ can be worn to prevent swelling and varicose veins. Consult your doctor - he will tell you what is better to buy and how to use.

If swelling disappears during pregnancy, is it good?

If you've recently changed your diet, are spending more time outdoors, or are taking other activities, that's very good. So your treatments are working and you are on the right track.

Another thing is when edema during pregnancy disappears by itself, without any changes in your life. A few days before the planned date of delivery, this is normal: progesterone has done its job, and its level drops ⁷ , releasing excess water. If the birth is still far away, a spontaneous decrease in edema is at least a suspicious sign. Contact your doctor to establish the cause of the body's unexpected gift and decide what to do about it.

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