Swollen feet in second trimester of pregnancy

Swollen ankles, feet and fingers in pregnancy

It's normal to get some swelling in pregnancy, particularly in your legs, ankles, feet and fingers.

It's often worse at the end of the day and further into your pregnancy.

Swelling that comes on gradually is not usually harmful to you or your baby, but it can be uncomfortable.

A sudden increase in swelling can be a sign of pre-eclampsia, a condition that needs to be monitored as soon as possible.

Non-urgent advice: Call your midwife, GP or labour ward immediately if you have:

a sudden increase in swelling in your face, hands or feet
a very bad headache
problems with your vision, such as blurring or flashing lights in your eyes
severe pain just below your ribs
vomiting with any of these symptoms

These could be symptoms of pre-eclampsia, which can lead to serious complications if it's not monitored and treated.

Normal pregnancy swelling

Swelling is caused by your body holding more water than usual when you're pregnant.

Throughout the day the extra water tends to gather in the lowest parts of the body, especially if the weather is hot or you have been standing a lot.

The pressure of your growing womb can also affect the blood flow in your legs. This can cause fluid to build up in your legs, ankles and feet.

What can help to reduce swelling

Try to:

avoid standing for long periods
wear comfortable shoes and socks – avoid tight straps or anything that might pinch if your feet swell
try to rest with your feet up as much as you can
drink plenty of water – this helps your body get rid of excess water
exercise – try to take regular walks during the day or doing foot exercises

Foot exercises

You can do foot exercises sitting or standing. They improve blood circulation, reduce swelling in the ankles, and prevent cramp in the calf muscles:

bend and stretch your foot up and down 30 times
rotate each foot in a circle 8 times one way and 8 times the other way

Get more tips on exercising in pregnancy.

Page last reviewed: 10 March 2021
Next review due: 10 March 2024

Causes, Plus Treatments That Work

While you may be enjoying the magical time that is pregnancy — it truly is miraculous how many restroom trips you can squeeze into one day — and eagerly anticipating the arrival of your sweet little bundle, there are some less than magical side effects that many parents-to-be experience.

Your body is changing rapidly, which can get a little uncomfortable. One discomfort that many people experience during pregnancy is swollen feet.

Let’s talk about why your feet may swell during pregnancy, when you might notice this happening, when you should seek medical attention, and some simple treatments that can help.

While swollen feet may or may not be painful, they can certainly be uncomfortable or bothersome.

Fortunately, you can try several simple strategies to help ease your symptoms during pregnancy.

Even better? They may involve snacks, a cold drink, swimming, massage, and possibly shoe shopping. Doesn’t sound so bad, right?

1. Reduce sodium intake

One way to reduce swelling during pregnancy is to limit your sodium (salt) intake. Salt makes your body hold on to extra water.

Try to avoid canned or processed foods, as these are especially high in sodium. Also, try not to put extra table salt on your food.

Using savory herbs such as rosemary, thyme, and oregano is an easy way to add flavor to your recipes without using salt.

2. Increase potassium intake

Not getting enough potassium can also make swelling worse. This is because potassium helps your body balance the amount of fluids it holds onto.

Your prenatal vitamin should have some extra potassium for you, but it’s also important to eat good sources of dietary potassium.

Some foods that are naturally high in potassium include:

potatoes with the skin on
sweet potatoes, also with the skin on
bananas
spinach
beans
some fruit juices, especially:
- prune
- pomegranate
- orange
- carrot
- passionfruit
yogurt
beets
salmon
lentils

3. Reduce caffeine intake

While occasional caffeine during pregnancy isn’t harmful (and hey, a person’s gotta stay awake!), drinking too much caffeine isn’t considered great for a baby. It can also make swelling worse.

Caffeine is a diuretic, which causes you to pee more, which then makes your body think it needs to hold on to fluid.

Try a decaf coffee with milk or an herbal tea such as peppermint to help give you a little energy boost instead.

4. Drink more water

As strange as it sounds to drink more water to counteract swelling, it actually works. If your body thinks you’re dehydrated, it will hold on to even more fluid to try to compensate.

So try to drink at least 10 glasses of water every day to keep your kidneys flushing out the bad stuff and your body happily hydrated.

If it feels daunting to drink that much water, try getting a cute cup that you’ll want to keep refilling, or a giant water bottle that you’ll only have to refill a couple of times per day. You can also flavor your water with lemon, mint, or berries to make it more enjoyable.

5. Elevate your feet and rest

Even though you have a million things you want to get done before baby arrives, try to sit and put your feet up when possible.

While sitting all the time isn’t great for your circulation, standing all the time is also hard on your beautiful pregnant body.

Sitting with your feet elevated for a little while — especially at the end of the day — can help drain the fluid that’s been pooling in your legs over the course of the day.

6. Wear loose, comfortable clothing

Wearing tight clothing, especially around your wrists, waist, and ankles, can make swelling worse. Basically, it keeps blood from circulating as easily as it could.

Try to wear loose, comfortable clothes — or at least avoid tight elastic bands. Maternity maxi dresses in the summer and flowy cardigans or sweaters with joggers in the winter can be both cute and comfortable.

7. Stay cool

Especially if you’re pregnant during the hot summer months, staying indoors during the heat of the day and avoiding vigorous exercise can help keep you cool and reduce swelling.

You can also wear cool clothing, put cold compresses on your feet, or keep a fan nearby.

8. Wear waist-high compression stockings

Yes, these are just about as appealing as they sound. But if you’re experiencing persistently swollen feet or have to be on your feet most of the time, you can wear waist-high compression stockings.

These stockings gently squeeze your feet and legs to help keep fluid circulating. Try to avoid the knee-high compression stockings, as they may be too tight in the middle of your leg and actually make swelling worse.

9. Walk

Going for even a 5- or 10-minute walk a couple of times per day can help improve your circulation, which helps reduce swelling.

This can also be a good break in your day, and it’s a great way to get pregnancy-safe exercise.

10. Wear comfortable shoes

While you may look adorable in your high heels, late pregnancy is a good time to give them a break.

Wearing comfortable (even orthotic), well-fitting shoes is key to reducing foot swelling, as well as to preventing hip and back problems that can arise as your center of gravity shifts and your weight increases.

In addition to the swelling, the ligaments in your body (including your feet) actually do stretch during pregnancy, so your feet may change size. Some people’s feet return to their pre-pregnancy size, but many people find that their feet are permanently a half-size or so larger.

It may be annoying that one more thing is changing or that some of your beloved shoes no longer fit, but this is an excellent excuse to find some new favorites.

11. Swim

There are no studies proving that water pressure reduces swelling during pregnancy, but many people do find relief from swelling when they spend time in the pool.

Try standing or swimming in a pool where the water depth is almost up to your neck. At the very least, you will feel lighter and cooler, plus get a little exercise. You may also find that your feet and legs are less swollen.

12. Get a massage

Your partner may be looking for ways to be involved during the pregnancy process, and this is the perfect opportunity.

Massage helps circulate the fluids that tend to accumulate in your feet, which will in turn reduce swelling.

So grab your water bottle, put your feet up, and let your partner gently massage your feet and legs. Adding some peppermint or lavender essential oil can make this even more relaxing.

And if you’re rocking this pregnancy solo or your partner isn’t the touchy-feely type, many massage studios offer specialized prenatal massages. These can not only help with swelling, but are great for helping relieve some of the stress that can accompany pregnancy.

13. Sleep on your left side

Sleeping on your left side when possible can improve blood flow, which reduces swelling of the feet. Lying on your left side takes the pressure of your uterus off of the inferior vena cava, which is the large blood vessel that returns blood to your heart.

When can you expect your feet to start puffing up? Well, the good news is that it’s usually later on in pregnancy. So you’ll likely recognize your feet for the first half or more of your pregnancy.

First trimester

Rapidly increasing levels of the hormone progesterone (literally “pro gestation” or “pro pregnancy”) slow your digestion down. This can cause abdominal bloating long before you have a noticeable baby bump.

You may also notice a bit of puffiness in your hands, feet, or face — but not much.

If you notice a lot of swelling this early on, especially if accompanied by other symptoms such as dizziness, headaches, or bleeding, it’s best to call your doctor or birthing professional, such as a midwife.

Second trimester

The second trimester begins with week 14 of pregnancy, roughly the start of month 4. It’s not unusual to start noticing swollen feet around month 5 of pregnancy, especially if you’re on your feet a lot or the weather is hot.

This swelling is due to the increasing volume of blood and fluids in your body. Your blood volume increases by about 50 percent during the course of your pregnancy, and that’s paired with a lot of hormonal fluid retention.

While it may make your rings and shoes a little snug, all this extra fluid helps to soften your body and prepare it for giving birth — and that’s exactly what you want. Rest assured, the extra fluid will rapidly decrease in the days and weeks after your baby is born.

Third trimester

Starting with week 28 of pregnancy, the third trimester is by far the most common time to experience swollen feet.

Especially as the weeks go on and you get closer to week 40, your toes are more likely to resemble little sausages than anything else (yes, becoming a parent is glamorous).

Your body is continuing to build its supply of blood and fluids, which can contribute to swelling. Your uterus is also getting much heavier as your baby grows, which can slow blood flow from the legs back to the heart. (Don’t worry, this isn’t dangerous — just uncomfortable.)

Other factors that can contribute to swollen feet include:

hot weather
dietary imbalances
caffeine intake
not drinking enough water
being on your feet for long periods of time

Swollen feet are a very typical part of pregnancy, as many of your fellow pregnancy buddies can probably tell you! So most of the time, swollen feet are just another sign of all the hard work your body is doing to grow that new little life.

However, swollen feet can sometimes signal a more serious concern.

One of these concerns is called preeclampsia. This condition can develop during pregnancy and cause dangerously high blood pressure.

Call your birthing professional or doctor if you notice:

sudden swelling of your hands, feet, face, or around your eyes
swelling that gets dramatically worse
dizziness or blurred vision
a severe headache
abdominal pain, especially in the upper right section of your abdomen
confusion
difficulty breathing

If you notice swelling in just one leg that is also accompanied by pain, redness, or heat, this could mean you have a deep vein thrombosis (DVT). A DVT is a blood clot, usually in your leg.

It’s important to call your healthcare professional immediately if you notice these symptoms. This is because people are more likely to get blood clots during pregnancy than when not pregnant (thanks once again, hormones).

If you’re unsure whether your swelling is typical or have any concerns, it is always best to call your doctor or midwife. They’re happy to help keep you and your baby safe and healthy!

Swollen feet are a very common side effect of pregnancy. Swelling is caused by increased fluid volume in your body, as well as decreased circulation.

If you experience sudden or severe swelling, it’s important to call your doctor or birthing professional, as this may be a sign of something more serious. But a little swelling is definitely expected.

You can help prevent foot swelling by getting regular gentle exercise, drinking plenty of water, resting, and eating a balanced diet.

Before you know it, your shoes will fit again and the only feet you’ll be focusing on will be those tiny baby toes!

For more pregnancy guidance and weekly tips tailored to your due date, sign up for our I’m Expecting newsletter.

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.

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)

what to do if legs and arms swell during pregnancy

What is edema?

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.

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

Early

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.

Late term

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:

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.

FAQ

Swollen legs during pregnancy - how to fix?

What is "internal edema" during pregnancy?

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.