How to prevent cramps during pregnancy
Leg cramps during pregnancy | Pregnancy Birth and Baby
Leg cramps during pregnancy | Pregnancy Birth and Baby beginning of content3-minute read
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Along with swelling and varicose veins, leg cramps are a normal but sometimes uncomfortable part of pregnancy. Knowing what to do when you get a cramp and how to prevent cramps from happening can make your pregnancy a bit more comfortable.
This article is about leg cramps only. To find out more about pelvic cramps, check out our article on pelvic pain in pregnancy, or speak with your doctor or midwife.
What are cramps and why are they common during pregnancy?
Cramps are a sudden, sharp pain, usually in your calf muscles or feet. A cramp is a sign that your muscles are contracting very tightly when they shouldn’t be. They usually happen at night and are more common late in your pregnancy. They can be very uncomfortable and it can be hard to know what to do.
There are many suggested reasons for cramps while you’re pregnant – carrying extra weight, changes to your metabolism, having a vitamin deficiency, being too active or not being active enough. The truth is that nobody really knows.
Can leg cramps be prevented?
Certain exercises might help you to prevent cramps.
Gentle exercises, such as walking or swimming, and specific exercises, including calf raises and walking on the spot, are good for helping blood flow in the legs and might help to prevent cramping.
In fact, regular, moderate exercise during pregnancy is a good idea, because it helps your body get used to the physical changes that happen throughout pregnancy.
You could try specific foot and leg muscle exercises such as:
- bending and stretching your foot vigorously up and down 30 times
- rotating your foot 8 times one way and 8 times the other
- repeating with the other foot
Stretching your calf muscles before you go to bed might help to prevent cramps at night.
A magnesium supplement might also help. Talk to your doctor about whether this could work for you.
How to get rid of cramps
To ease a leg cramp, it usually helps if you stretch the muscle by pulling your toes hard up towards your ankle. You can also rub the muscle firmly or walk around for a while. If you have a partner, ask them to help.
Calcium is sometimes suggested as a treatment for cramps, but there isn't any evidence that this works.
When to talk to your doctor or midwife about your cramps
You should talk to your doctor or midwife about your cramps if:
- they are disturbing your sleep
- they are very painful
- you are feeling anxious about them.
If you're not sure what to do when you get a cramp, or don't know the best way to deal with them, 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:
NSW Health (Having a baby), The Royal Women's Hospital (Common concerns in early pregnancy), King Edward Memorial Hospital (Minor Symptoms or Disorders in Pregnancy King Edward Memorial Hospital Clinical Guidelines: Obstetrics & Midwifery). ), The Royal Women's Hospital (Active pregnancy), Women's & Children's Health Network (Common health problems in pregnancy)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: February 2020
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- Common discomforts during pregnancy
- Swelling during pregnancy
- Varicose veins
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What Causes Leg Cramps in Pregnancy? | UNM Health Blog
By Kathleen Kennedy, MD | July 01, 2021
Safe At-Home Treatments & When to Call a Doctor
Did you know around half of pregnant patients get leg cramps by their third trimester? Leg cramps tend to strike at night when you’re about to fall asleep. You might feel a sudden tightening of your muscle followed by a sharp pain.
Usually, leg cramps in pregnancy are nothing to worry about, however, sometimes they can be a sign of a more serious health problem. Let’s take a look at the common causes of leg cramps, how you can handle them at home and when to call the doctor.
Common Causes of Leg Cramps
There are many potential causes for leg cramps during pregnancy. They tend to show up in the second and third trimesters as your body is rapidly changing.
Low Vitamin or Mineral Levels
Why: During pregnancy, hormone and diet changes can decrease your calcium and magnesium levels.
Try This:
- Taking a prenatal vitamin can help. Get tips to find the best prenatal vitamins.
- Vitamin B complex supplements might also help with leg cramps.
- Eat food high in potassium, such as bananas, kiwi and spinach.
- Eat food high in magnesium, such as dark chocolate, avocados and nuts.
- Eat food high in calcium, such as seeds, cheese and salmon.
Circulation Changes
Why: Your blood volume will almost double during pregnancy. That can cause slower circulation, leading to swelling and cramping.
Try This: Here are a few tips for improving circulation during pregnancy:
- Sleep on your left side: This position takes pressure off your liver, which is on the right side of your body and helps improve circulation.
- Elevate your legs: Not only does putting your feet up reduce swelling, it also pushes blood flow back to your heart and lungs.
- Sleep with a pillow between your knees: This position helps facilitate blood flow through a major vein carrying blood to the heart and back. This position may also relieve stress.
- Stay active: If you sit a lot during the day, get up and walk around every couple of hours. Movement helps increase overall blood flow.
Dehydration
Why: Do you remember to drink enough water? Leg cramps are a common symptom of dehydration. Water keeps your body hydrated, making the heart’s job of pumping blood easier. The heart sends oxygen to your organs and muscles, reducing the likelihood of cramps and circulation problems.
Try This: While pregnant, you should drink 8-12 cups of water per day. Try adding a slice of fruit or low-sugar flavoring if plain water is too boring.
Muscle Fatigue and Weight Gain
Why: During pregnancy, you might already feel tired. That goes for your muscles, too. Some of that weak, heavy or tired feeling might be coming from the added weight of the baby. Some may be from gaining additional weight during pregnancy.
Your uterus is also putting extra pressure on your blood vessels. When the blood vessels in your legs and feet are strained, it can lead to increased leg cramps.
Try This: For this type of cramp, we recommend stretching before exercise and bed. Wearing compression socks also helps move the valves in your blood vessels closer together, keeping blood flowing better in the legs.
Staying active during pregnancy can help relieve and prevent leg cramps caused by weight gain. Work with your doctor or midwife to eat a healthy diet during pregnancy. The goal is to gain enough weight to nourish the baby, but not so much that it negatively affects your health.
Tips to Treat Leg Cramps at Home
Cramping muscles are no fun. Here are some safe at-home treatments you can try to reduce pain:
- Massage the cramping muscle and nearby muscle groups to release the tightened muscles to restore proper blood flow, oxygen and nutrients to the muscle.
- Gently hold your leg in a stretched position until the cramp stops. This lengthens your muscle fibers so they can properly contract and tighten, allowing your muscle’s oxygen supply to be restored.
- Rotate applying ice, to ease the pain of the cramp, and heat, to relax your muscle and increase blood flow.
- Soak in Epsom salt bath. When Epsom salt dissolves in water, it releases magnesium which plays a big role in muscle contraction.
Exercises to reduce leg pain:
- Ankle Pumps: Lie on your back with your feet slightly elevated. Point and flex your feet.
- Calf Stretches: Put one foot against the wall with your toes pointing up, brace yourself with your arms and lean toward your foot, keeping your leg straight.
- Good Mornings: Feet hip width apart, put your hands behind your head, with a slight bend in your knee, bend at your hips until you’re parallel to the floor or feeling a good hamstring stretch
When to See a Doctor
If leg cramps are keeping you awake at night and at-home treatments aren't working, talk with your doctor or midwife. They can prescribe safe medication to ease the pain and help you sleep.
Less commonly, some leg cramp symptoms are signs of deep vein thrombosis (DVT). This is a serious medical condition that can cause blood clots. Pregnant women are 50 percent more likely to get blood clots than non-pregnant women.
Call for help right away if you have any of these symptoms:
- Extreme leg pain when you stand up
- Severe, persistent or worsening leg cramps
- Very swollen legs
- Red spots that are warm to the touch
- Enlarged veins in the legs
If you are struggling with leg cramps during pregnancy, help is available. Talk to your doctor or midwife to discuss your options.
To find out whether you or a loved one might benefit from Ob/Gyn care
Call 505-272-2245.
Categories: Women's Health
Convulsions during pregnancy | What to do with leg cramps in pregnant women
Why cramps occur during pregnancy and how to prevent or reduce pain.
Tuesday, October 23rd, 2018
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Cramping is a severe, sharp pain that most often occurs in the calf muscle, as well as in the neck, back, hands, back and front of the thigh. Unpleasant contractions can disturb the expectant mother at any stage of pregnancy.
Seizures occur day and night, last a few seconds or minutes, and muscle tenderness persists for up to a day after the episode.
Causes of convulsions during pregnancy and solutions
Pain can occur due to a lack of certain vitamins and minerals in the body of a pregnant woman, and may also indicate a serious illness. Let's look at the most common causes and find solutions to the problem.
Deficiency of vitamins and microelements
A woman carrying a baby needs much more nutrients than usual. And the lack of calcium and magnesium often becomes the culprit of leg cramps during pregnancy.
What to do?
Take prenatal vitamins (only as directed by your doctor!) and eat foods rich in essential nutrients. For example, with a lack of calcium, which ensures the work of muscle cells, painful contractions may disturb. Therefore, such a microelement is a must in the daily diet.
Do not forget about magnesium, which helps in the absorption of calcium by the body. Magnesium is rich in parsley, basil, dill, avocado, lentils, beans, coriander.
Toxicosis of pregnant women
When a woman vomits, she loses useful trace elements obtained earlier from food and vitamin-mineral complexes. It is very important not only to quickly fill this shortage, but also to reduce toxicosis at the beginning of pregnancy.
What to do?
Try to eat neutral foods that do not cause nausea in the morning: crackers, bread, raisins. During the day, eat fractionally, in small portions. If toxicosis is debilitating and prolonged, inform your doctor.
See also: Toxicosis - norm or pathology
Low hemoglobin level
Sometimes cramps of the calf muscles in pregnant women are accompanied by dizziness and weakness. The cause of this condition may be a low level of hemoglobin. A blood test helps to identify this.
What to do?
Low hemoglobin is an indicator of iron deficiency in the body. Enrich your diet with iron-containing foods: egg yolks, beef, liver, buckwheat, nuts, pomegranate juice. And also follow the doctor's recommendations.
Increased progesterone levels
As soon as a woman begins to bear a child, the concentration of the hormone progesterone increases and blood flow in the legs worsens.
What to do?
To improve blood metabolism in the calf muscles, try to do light physical activity. Walk outdoors and do morning exercises. Also, applying a cream against varicose veins, a roller under the legs for easy lifting, massage, and contrast baths will help prevent or weaken nighttime leg cramps during pregnancy.
Some studies show that light exercise before bed for a few minutes can prevent sleep cramps.
Taking diuretics
Faced with edema, some mothers take drugs that remove fluid from the body. But along with excess water, a woman also loses valuable substances. And when the balance is disturbed, convulsions appear.
What to do?
No need to fight excess fluid - just reduce your intake! But do not overdo it, because in the opposite situation, metabolic disorders may occur. Additionally, adjust the daily menu: exclude from it pickles, black bread, sauerkraut, herring, that is, everything that retains fluid in the body and provokes you to take an additional portion of water.
Also Read: Pregnancy Drinking Routine
Advice from the American Academy of Orthopedic Surgeons
- Stop Cramping Activities
- Massage your muscles and lightly stretch
- Use warm compresses to relieve tension
- Apply cold to reduce muscle soreness
- If you feel pain, keep your leg in a stretched position until symptoms subside
Wear comfortable shoes, especially if you have varicose veins or flat feet.
Sometimes convulsions during pregnancy are a symptom of an illness or a complication during the period of bearing a child. Therefore, if there are pain in the muscles (even rare and minor), be sure to seek help from your doctor.
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Interventions for leg cramps during pregnancy
What is the problem?
Leg cramps manifest themselves as sudden, intense involuntary contractions of the leg muscles. This is a common problem during pregnancy, especially in the third trimester. They are painful and can interfere with daily activities, disrupt sleep, and reduce quality of life. Various types of interventions are used to treat leg cramps during pregnancy, including medications, electrolytes (magnesium, calcium, sodium) and vitamins, as well as non-drug therapies such as muscle stretching.
Why is this important?
The aim of this review was to find out which treatment for leg cramps during pregnancy is effective and safe.
What evidence did we find?
In September 2019, we searched for evidence and identified eight randomized controlled trials in 576 women 14 to 36 weeks pregnant comparing magnesium, calcium, calcium with vitamin D or B vitamins versus placebo or no treatment, and compared vitamin C with calcium. All drugs were given as tablets to chew or swallow.
Magnesium supplements may reduce the incidence of leg cramps in women compared with placebo or no treatment, although studies have not been consistent. Different studies have assessed the effect of magnesium supplementation differently. Some studies have shown magnesium to help reduce the incidence of leg cramps, while others have shown little or no effect. Data on the effect of magnesium on pain reduction was also inconclusive, with only one study showing a reduction in pain intensity, while others showed no difference. Differences in the occurrence of side effects such as nausea and diarrhea were negligible or non-existent.
Calcium did not always reduce the incidence of leg cramps in women after treatment compared to those who did not receive any treatment. It also found that the evidence was of very low quality, so we cannot be sure of the results.
More women who received B-vitamin supplements made a full recovery compared to those who received no treatment; however, these results were based on a small sample size and the study had design limitations.
Frequency of leg cramps did not differ between women receiving calcium and women receiving vitamin C. with placebo.
What does this mean?
The quality of the evidence was low to very low. This was mainly due to small study sample sizes and study design weaknesses. Four studies were well-conducted and presented their reports. The remaining four had flaws in their design: in several studies, women were not best assigned to different treatment groups, and in two studies, women knew whether they were receiving treatment or not. Adverse effects, such as the effect of treatment on complications of pregnancy, childbirth and child, were not reported. Several studies have focused primarily on serum calcium and magnesium levels. The frequency and intensity of seizures and duration of pain were not uniformly reported, and there was often no information on whether they were assessed during treatment, at the end of treatment, or after treatment was discontinued.
It is not clear from the evidence reviewed whether any oral interventions (magnesium, calcium, calcium with vitamin D, B vitamins, vitamin D, or vitamin C) are an effective and safe treatment for leg cramps during pregnancy. Supplements can have different effects depending on how women usually take them.