Swelling during third trimester

5 ways to manage swollen legs and feet during pregnancy | Your Pregnancy Matters

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Your Pregnancy Matters

September 14, 2021

Your Pregnancy Matters

Robyn Horsager-Boehrer, M. D. Obstetrics and Gynecology

The additional weight and hormones you experience during pregnancy can cause swelling and structural changes in your feet.

Of all the body parts you expect to get bigger during pregnancy, feet might not be at the top of your list. But most pregnant women experience swelling in their lower legs and feet.

If your ankles appear puffy and your shoes don’t feel quite right, you’re not imagining things. The additional fluid and blood your body creates to support healthy fetal growth also slows down blood circulation. That can cause blood to accumulate in your lower extremities, causing swelling.

During pregnancy, you also produce more relaxin, a hormone that helps your tendons, ligaments, joints, and muscles – you guessed it – relax. While relaxin helps your pelvis open to give birth, it also loosens the tendons and ligaments in your feet.

The combination of extra weight and hormones during pregnancy can cause your feet not only to widen but also flatten and lengthen. Leg or ankle swelling likely will decrease a week or two after your baby is born, but your feet may never be the same again.

Studies have shown that pregnancy can cause a permanent decrease in your arch and increase in foot length – typically only after a woman’s first pregnancy.

While more research is needed to determine whether these structural changes can be prevented, there are a few things you can do throughout your pregnancy to reduce swelling and feel more comfortable.

Coping with swollen legs and feet during pregnancy

1. Wear compression socks

Wearing 15-20mmHG compression socks that end at your knee can help alleviate achiness. The socks gradually increase pressure in your legs and move some of the excess fluid back into your blood vessels and the rest of your body.

Avoid socks with a tight band at the top. The tightness might worsen swelling by blocking blood return. That can increase your risk of developing a blood clot – which is already five times higher during pregnancy. You don’t need to purchase medical-grade socks, but you can find a good pair of compression socks for $10-$20.

Compression socks also can prevent the formation of new varicose veins, which occur in 15% of pregnant women for the same reason that causes swelling. The risk doubles after your first pregnancy and is four times higher in women over 35. These veins start out as little bumps under your skin; the socks squeeze them just enough to prevent backward blood flow and bulging. Existing varicose veins aren’t likely to shrink, but compression socks can reduce the pain and discomfort they cause.

2. Rest efficiently

You can easily improve blood circulation during downtime and sleep:

Elevate your legs above heart level while reading, watching TV, or doing other seated activities. The simple change in body position decreases pressure on your veins, which no longer have to work against gravity to send blood to your heart. Use cushions for comfort and elevate in 15- to 20-minute intervals a few times a day.
Sleep on your left side. While you can safely sleep on either side during pregnancy, the left side is often recommended to avoid putting pressure on the inferior vena cava, a large vein that carries blood from your lower extremities to your heart.

3. Get your feet wet

Immersing your feet and ankles in cool water for 20 minutes a few times a week can minimize swelling, whether you use a pool, bathtub, or even a large bowl. Bonus: It’s also a great way to deal with the Texas heat if you’re pregnant during the summer.

Be sure the water temperature is moderate and not ice cold. Cooler temperatures cause the smaller blood vessels close to your skin to constrict, which reduces blood flow to and swelling within the affected area. Water that is too cold can have the opposite effect. Whether you stand and sway or sit and dangle your feet, water therapy is a great way to relieve stress and pain.

Related reading: Water immersion during labor

4. Invest in supportive shoes that fit.

Unsupportive and uncomfortable shoes can cause even more leg and foot pain, plus backaches. Even if your feet return to their pre-pregnancy size, you’ll feel more comfortable in shoes that fit your feet and support your additional body weight. The American College of Obstetricians and Gynecologists recommends wearing shoes that:

Have a low heel but are not flat
Provide good arch support, such as athletic shoes

Many patients prefer shoes that have mesh, which allow their feet to breathe, and can easily slip on and off to limit bending over while pregnant. More shoe brands are merging comfort and style, so even the most fashionable patients will have no problem finding footwear they feel good about wearing.

5. Visit a podiatrist or pedicurist.

Another reason to wear shoes that fit: Stress from tight shoes can cause ingrown toenails, and so can infrequent nail trimming. In the first two trimesters you probably won’t have any difficulty trimming your toenails. But once you reach the third trimester, it might get more challenging.

Try propping up your feet on a stool or ask your partner to help trim your toenails. Nail salon gift cards are a great item to add to your baby shower (or sprinkle!) registry, too.

Seeing a podiatrist is another option to prevent or treat painful foot conditions, such as ingrown toenail, bunions, or plantar warts.

When swelling becomes serious

While gradual swelling in your lower and upper extremities is normal, sudden or severe swelling in your face, hands, or feet might be a symptom of preeclampsia. This pregnancy complication involves very high blood pressure.

If you have preeclampsia, you may need to stay in the hospital until you give birth. Delivery is the only way to “treat” preeclampsia. Left untreated, the condition can cause seizures, kidney or liver damage, and in rare cases, death.

Related reading: Postpartum hypertension: When a new mom's blood pressure is too high

Talk with your doctor about foot and leg swelling, as well as any other pregnancy symptoms. The more we know about your current condition, the more we can help reduce your risk of future complications.

While we can’t fully prevent foot and leg swelling, we can recommend ways to reduce your risk, such as:

Regular exercise
Good-quality sleep
A healthy diet rich in fruits and vegetables

Discomfort during pregnancy is to be expected, but our goal is to partner with you to minimize it – as well as the risk of more serious conditions.

To discuss your pregnancy concerns or symptoms with an expert, call 214-645-8300 or request an appointment online.

When to Worry (and What’s Perfectly OK)

In the early pregnancy, you may beam from the inside out with bright, rosy skin and hair that brilliantly glistens for days. Then, one day, something takes the wind out of your prego-beauty sails — you look down and don’t even recognize the two extremely puffy cankles beneath you.

Unfortunately, swelling falls into that perfectly normal category of pregnancy side effects. In fact, most expecting mamas experience it. But why?

Let’s look at what causes swelling during pregnancy and offer some tips to beat the bloat with comfort and confidence.

And, a note of caution: There are a few instances in which swelling during pregnancy is concerning. We’ll also explain when it could be a sign of a more serious health condition.

During pregnancy, your body does some pretty herculean things, and there’s a lot that, well, increases. One of them is the sheer amount of fluid in your body. While pregnant, your total body water volume can increase by up to 8 liters— that’s over 33 cups!

Meanwhile, your plasma volume leaps 30 to 50 percent, which means your total blood volume increases as well.

So, where does all that fluid go? Good question.

Some of the water stays within your cells to help them function. The rest accumulates outside of your cells to enhance oxygen delivery, clear waste, and control electrolyte flow.

The increase in plasma is in response to the growing needs of the placenta and your maternal organs, as your blood volume increases to deliver all that your baby needs to develop.

As your little one inches closer to birth in the third trimester, your blood volume reaches its peak. Hint: That’s why your swelling (among other slight unpleasantries) can peak around this time.

But that’s not all.

The massive increase in body fluids during pregnancy is coupled with increasing sodium levels. And most of us have seen the effects of what a little too much takeout pizza can do.

Sodium affects how your body absorbs and processes water. Even the slightest rise in sodium may cause you to feel the power of the “puff.”

It’s completely normal to shed a little tear the day your rings and favorite heels don’t fit anymore (sigh). A little gradual swelling in your fingers, legs, ankles, and feet throughout pregnancy is part of the journey.

You may find that your swelling tends to worsen toward the end of the day. This is because the extra fluid in your body can gather in the parts of your body farthest from your heart. A hotter, humid day or a lot of standing can contribute to some normal swelling, too.

Moving into the second and third trimesters, more pressure from your little one’s growing size — in addition to more blood volume — may further affect blood flow in your legs, ankles, and feet, causing you to experience even more swelling.

Tips to relieve normal pregnancy swelling

Sometimes, swelling may be as inevitable as that supersonic sense of smell and burning indigestion that you take in stride with the pure joys of pregnancy. However, here are a few things that you can do to help prevent or ease it.

Elevate your feet at a level above your heart throughout the day, as this helps the fluid circulate back to your heart.
Drink more water to flush extra fluid and sodium out of your body.
Wear compression stockings to improve circulation, especially if you’re taking a long flight.
Avoid being outdoors in very hot and humid weather.
Take frequent breaks to elevate your feet when standing for long periods.
Avoid heels and wear comfortable, breathable, and supportive shoes.
Eat more foods with potassium, such as bananas and avocados, to flush out sodium and increase urine production (yes, even more).
Limit high salt foods, such as prepackaged meals, fast food, and chips.

We know every mama bear wants to know when to panic. The answer? Never. Panicking only boosts your emotional and physical stress. Instead, feel empowered by learning when to call your OB-GYN or midwife about swelling.

The two most concerning conditions during pregnancy that can cause swelling are preeclampsia and a blood clot.

First thing to remember: These conditions aren’t common, but the risk is real during pregnancy. Therefore, it’s important to be aware of them.

Secondly, swelling associated with these conditions is different than the normal, gradual swelling you may experience over the course of your pregnancy.

Here’s how the swelling is different.

Preeclampsia

Preeclampsia only affects about 5 percent of pregnant women, usually only after the 20th week. The following are three main symptoms of this disorder:

high blood pressure
protein in the urine
edema (a fancy word for swelling caused by excess fluid in the body)

Labs may also show abnormalities in liver enzymes and lower than normal platelet levels.

This relatively rare condition can have devastating consequences for mom and baby if not treated immediately, so it’s important to be aware of the symptoms — and swelling is one of the major ones.

Significant swelling in your hands, face, or around your eyes that comes on suddenly or gradually becomes worse should alert you to call your OB-GYN. If your swelling appears “pitted” — meaning when you push on your skin, an indentation remains — this is also concerning.

In preeclampsia, swelling might be accompanied by a persistent headache, vision changes, abdominal pain, and sudden weight gain. If you have any of these symptoms, call your OB or midwife immediately. They may advise you to go to your nearest emergency room.

Blood clots

Pregnancy is a risk factor for blood clots in the leg, thigh, or pelvis called deep venous thrombosis (DVT). A 2017 review states that pregnancy alone increases a woman’s risk of DVT fivefold. The risk is consistent throughout every trimester and even up to 12 weeks after delivery.

DVT is a serious condition during pregnancy and warrants immediate treatment, as it may cause a pulmonary embolism (PE), which can be fatal.

To protect mom and baby, it’s important to catch a DVT by knowing the symptoms. Swelling affecting only one leg is a big one.

Swelling related to DVT often occurs with other symptoms affecting the same area, such as:

significant pain
tenderness
redness
warmth to the touch

If you have any of these symptoms, call your OB or midwife immediately and follow their direction.

Reducing normal pregnancy swelling is nice but not always possible — and that’s OK.

It’s more important to do what you can to prevent serious complications like preeclampsia and blood clots. Again, though, prevention isn’t always possible and early recognition is key. That said, here are some tips that might decrease your risk.

How to lower your risk of preeclampsia

A limited number of studies have demonstrated proven ways to prevent preeclampsia.

While supplementation with vitamins C and E has been researched as a possible preventive measure, a study in 2007 concluded that antioxidant supplementation with these vitamins shouldn’t be recommended for preeclampsia prevention during pregnancy.

Moreover, while some studies have demonstrated a possible connection between prenatal physical activity and a reduced preeclampsia risk, more studies are needed to confirm this relationship.

It’s most important to know your risk factors so your obstetrician can monitor you more closely if necessary.

Some risk factors for preeclampsia include:

chronic high blood pressure before pregnancy or during a previous pregnancy
kidney disease before pregnancy
personal or family history of preeclampsia
having overweight or obesity
having a multiple gestation pregnancy (more than one baby)
being over age 40
being pregnant with your first baby
pregestational and gestational diabetes
being of African American ethnicity

For women with a history of preeclampsia, low-dose aspirin has been cited as an effective secondary prevention strategy. Aspirin to prevent preeclampsia in women with a high risk but no personal history is still under debate.

How to lower your risk of blood clots

Like preeclampsia, preventing blood clots during pregnancy, childbirth, and the 3-month period afterward starts with knowing your risk factors, such as:

personal or family history of blood clots
personal family history of a blood clotting disorder
history of a cesarean section, also known as a C-section
immobility or long-term bed rest
certain pregnancy or childbirth complications
having diabetes, heart disease, or a lung condition

Your OB or midwife can work with you to help reduce your risk by developing a personalized prevention plan. Here are some easy everyday things you can do, too:

drink plenty of water
move your legs or get up at least every 1 to 2 hours if you’re sitting a lot
exercise as recommended by your doctor
use compression socks or stockings if recommended by your doctor
take prescribed medications as directed

If growing feet coincide with your growing belly, you’re certainly in very good company. There’s a normal level of swelling that affects most expecting ladies.

Normal swelling can peak in the third trimester, affecting the legs mostly. Some simple elevation and R&R with a big glass of water may be all that you need to calm your cranky cankles.

In rarer cases, swelling is a sign of something more serious. If swelling affects only one leg and is accompanied by pain, redness, or warmth, a blood clot could be a concern, and you should call your doctor.

If you experience sudden or gradually worsening swelling in your face, around your eyes, or in your hands accompanied by high blood pressure, call your doctor immediately. This could be a symptom of preeclampsia, which requires immediate treatment to protect you and baby.

reasons, what to do, how to reduce

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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 experience 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 very 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 in the body appear 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 to miss. 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.

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 will give you 12 simple recommendations that will help reduce water retention in the body 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.
Maintain a 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 a lot of 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, started 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.

Links to sources:

13 Home Remedies for Swollen Feet During Pregnancy. Link: https://www.healthline.com/health/pregnancy/swollen-feet-during-pregnancy#causes
Pascale Mutti Tacani, Danielle de Oliveira Ribeiro, Barbara Evelyn Barros Guimarães, Aline Fernanda Perez Machado, and Rogério Eduardo Tacani. Characterization of symptoms and edema distribution in premenstrual syndrome. Int J Women's Health. 2015; 7:297–303. Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4362892/
Eva K Ellegard. Special Considerations in the Treatment of Pregnancy Rhinitis. Women's Health, Volume: 1 issue: 1, page(s): 105-114. Link: https://journals.sagepub.com/doi/full/10.1517/17455057.1.1.105
Wai-Ping Yau, Allen A. Mitchell, Kueiyu Joshua Lin, Martha M. Werler, and Sonia Hernández-Díaz. Use of Decongestants During Pregnancy and the Risk of Birth Defects. Am J Epidemiol. 2013 Jul 15; 178(2): 198–208. Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3816336/
Big medical encyclopedia. Edema. Link: https://bme.org/index.php/EOTYOK
What to Know About Compression Socks and Stockings. Link: https://www.healthline.com/health/compression-socks-benefits
Astle S, Slater DM, Thornton S. The involvement of progesterone in the onset of human labor. Eur J Obstet Gynecol Reprod Biol. 2003 Jun 10;108(2):177-81. Link: https://pubmed.ncbi.nlm.nih.gov/12781407/

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:

Disease	Description
Deep vein thrombosis	Blockage of the vessel, which leads to death. Risk factors: trauma, venous insufficiency, smoking, physical inactivity, oncology.
Preeclampsia	It occurs in approximately 2% of pathological edema. It is characterized by increased blood pressure and high levels of protein in the urine. The disease has varying degrees of severity. The most terrible consequences are a stroke, the death of a mother or child, fetal pathology. Risk factors: chronic hypertension, adolescence or women over 35 years of age, hereditary predisposition, first or multiple pregnancies, diabetes mellitus, etc.
Phlegmon	Acute infection, usually caused by streptococci; characterized by skin lesions and inflammation of the subcutaneous tissue.

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:

Severity	Description
1 degree	edema directly
2 degree	protein in the urine and problems with pressure are added to them
3 degree	preeclampsia
4 degree	eclampsia, in which strokes and placental abruption are possible

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.

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Article author

Menshikova Maria Viktorovna obstetrician-gynecologist

Experience 38 years

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