Effective Tips to Manage Swollen Feet and Ankles During Pregnancy

Edema during pregnancy is an occurrence that causes the legs and ankles to swell up. This can sometimes happen on the hands as well. Swollen legs and ankles are a common symptom of pregnancy. This is especially common during the second trimester and can worsen towards the end of your pregnancy or in the third trimester.

Pregatips
Swelling is caused by a fluid buildup and shows up on your face, legs, and arms. It is very common and not a cause for concern; however, it can be very uncomfortable.



This happens because your growing uterus interrupts the blood flow and causes more fluid to remain in your leg veins. All of this extra fluid goes into the nearby tissue, causing it to swell. Certain hormonal changes during pregnancy can also cause the fluid to build up and make you feel puffy.

Mild or moderate swelling of the feet and ankles is normal. In rare cases, the swelling is a sign of something more serious like blood clotting or preeclampsia. If your swelling appears suddenly, call your doctor immediately.

Swollen feet are usually not concerning. They are normal and usually go away a few weeks after birth. However, since they are uncomfortable, here is what you can do for quick relief.


Common Solutions for Swollen Feet and Ankles During Pregnancy


  • Rest: Try to take it easy. Swollen ankles and legs can worsen if you stand for long periods. Rest for a longer time and try to keep your feet elevated.
  • Massage: Gentle massaging strokes towards your heart are a good way to ease the swelling in your feet and move the fluid away from them.
  • Yoga: Certain yoga poses that allow the legs to be elevated can help. The idea is to relieve pressure from the uterus on the legs and increase blood flow to the heart.
  • Compression socks: Compression socks stop fluid from building up around the ankles. You can start with light compression socks and then increase the strength if needed. These are different from pants or socks that are tight and block blood flow. Compression socks can also help with varicose veins, a huge contributing factor to the feet' swelling.
  • Light exercise: Moving around or exercising is beneficial throughout pregnancy. Take short walks or flex anytime you feel like you have been in the same position for too long. Simple stretches can provide some relief as well.
  • Soaks: Soaking in a warm bath with Epsom salts, or even a pool can offer you significant relief. Walking or swexerimming in a pool can help your muscles move fluid away from your tissues. Consult with your doctor before you begin any new exercise routine.
  • Hydrate yourself: Drink at least eight to ten glasses of water every day. This will help you stay hydrated and reduce fluid retention.
  • Maintaining a healthy weight: Sometimes, this swelling can occur due to weight gain. Your doctor will probably discourage weight loss since you are pregnant, regardless, you should still ask them if you can. Also keep a note of how much salt or carbohydrates you are consuming, since an excessive amount of either of them can cause water retention.
  • Regular Check-Ups: Stress the importance of attending regular prenatal check-ups to monitor the mother’s and baby’s health, especially when experiencing symptoms like swelling.


Lifestyle Changes To Prevent Swelling Feet & Ankles In Pregnancy

  • Do not stand or sit in one place for long periods: Make sure to move around while sitting and take short walks. If you are standing, keep moving at regular intervals or make sure your feet are elevated after some time.
  • Change your posture: Make sure you are not crossing your legs and that you are sitting in a position that keeps your feet elevated.
  • Clothing changes: Avoid clothes that are too tight, especially around the legs, feet, and ankles.
  • Change your sleeping position: Sleeping on the left side can help improve circulation and reduce swelling.
  • Wear comfortable footwear: Avoid straps that are tight or could pinch your feet.
  • Rest: Keep your feet elevated while you are resting.


Home Remedies For Edema or Foot Swelling

  • Soak your feet in a tub with lukewarm water and Epsom salt
  • Wrap chilled cabbage leaves around the affected area to help draw out excess fluid
  • Get an oil massage with a few drops of lavender essential oil added to relax your muscles. Cypress oil can be used as well since this helps with circulation and varicose veins
  • Raise your legs to the wall, this position is called Viparita Karani and can help with various symptoms, including swollen feet. Elevating your legs above your heart improves blood flow and reduces the risk of blood clots.
  • Wear low to medium-compression socks to prevent fluid buildup around the ankles
  • Sodium in salt can cause the body to retain more water, causing more swelling. Eat food that has less salt
  • Cold water is a brilliant remedy for foot swelling. Cold water reduces inflammation by constricting blood vessels and reducing blood flow to the affected area. Cold water can also help numb the nerves and tissue which often eases pain. You can soak your feet in cold water for 20 minutes, twice every day. You could also use ice packs, frozen peas or therapy socks.
  • Foods like leafy greens, nuts, and whole grains are rich in magnesium and can help rid you of excessive water retention in the body. Alternatively, you can take magnesium supplements to help reduce swelling. Speak to your doctor about this


Foods That Reduce Swelling in Feet and Ankles

  • Foods that are natural diuretics: These foods help you excrete extra fluid through your kidneys and include tomatoes, cucumbers, eggplants, watermelon, cabbage, carrots, lemons, beets, ginger, and Brussels sprouts, among others
  • Foods with potassium: Potassium and sodium balance each other out. Include foods like bananas, oranges, romaine lettuce, and celery in your diet
  • Increase your protein intake: By the third trimester, you should increase your protein intake. Low albumin (protein) in the blood lowers blood osmolality (thickness) and results in fluids leaking from the blood vessels to the surrounding tissue. This can cause swelling of the feet and ankles. Increase your protein intake by consuming lentils, chickpeas, and eggs
  • Reduce your sugar intake: Remember that all carbohydrate-rich foods contain sugar. This means you will have to reduce your intake of rice, bread, pasta, and dessert
If the swelling becomes too uncomfortable, talk to your doctor to seek out other solutions. They might have new ideas that are unique to your situation.


Foot Exercises to Relieve Swelling During Pregnancy

  • Rotate your feet: Rotate each foot in a circle eight times clockwise. Repeat this eight times in a counter-clockwise motion.
  • Bend and stretch: Bend and stretch your feet up and down thirty times
  • Calf stretches: Flex your feet to stretch your calf muscles
  • Ankle pumps: Lie down to elevate your feet and point your toes towards your head, and then move them away from your head. Do this thirty times. This exercise may be done three times a day.
  • Acupuncture: Acupuncture can help ease mild swelling by increasing blood circulation in the legs. If you want to try out acupuncture, go to a licensed professional.


When to Call Your Doctor If Swelling Persists

Swelling during pregnancy is normal and happens to every woman. It is extremely uncomfortable but is not usually a cause to be concerned. However, in rare cases, it could indicate a more severe issue. Preeclampsia is a serious medical condition that can develop after the 20th week of pregnancy. It is caused by the placenta not developing properly due to issues with the blood vessels supplying it. It can cause damage to the kidneys, liver, lungs, eyes or heart and can even cause a stroke. All of this depends on how severe the preeclampsia is.

Warning Signs of Preeclampsia

  • High blood pressure or hypertension
  • Protein in urine
  • Vision problems like blurry vision, light sensitivity, seeing spots or flashing lights
  • Dull, throbbing migraine-like headaches that do not subside
  • Nausea or vomiting that shows up suddenly in the pregnancy
  • Pain in the upper belly, shoulders, or under the ribs
  • Sudden swelling of the hands, face or feet
  • Other symptoms like low urine output, vaginal bleeding, sudden weight gain, trouble breathing or generally feeling unwell


How to Seek Out Emotional Support for Oedema

Dealing with this and other uncomfortable symptoms of pregnancy can be daunting. Talk to your trusted support system about all your emotions. This can be friends, family members, or even a professional. You can also reach out to support groups online. These can be especially beneficial since the uncomfortable symptoms associated with pregnancy can be isolating, and speaking to people going through the same can help you a lot.

Swelling is very normal and should subside after you have given birth. Although, if the issue persists, you should speak to your doctor about it. Try the tips mentioned above to ease your discomfort, and contact your doctor to report any changes.


FAQs About Swelling Feet and Ankles During Pregnancy


  1. How can I reduce swelling in my feet during pregnancy?
    • Don’t stand for too long
    • Sleep on your left side. This ensures pressure is off the large vein that moves blood from the lower half of your body to your heart
    • Avoid clothes with tight bands, especially around the feet and legs
    • Walk in a pool
    • Use mild compression socks
  2. When should I worry about swelling during pregnancy?
    A certain amount of fluid accumulation during pregnancy is normal, especially in the third trimester. If the swelling is more than mild in the hands or if the face is swelling up, the woman needs to be evaluated by a doctor.If swelling in your face, hands, or legs persists despite adequate rest, consult your healthcare provider. While it's common for pregnancy-related swelling to worsen throughout the day and subside overnight, persistent or excessive swelling may indicate an underlying condition.
Disclaimer: Medically approved by Dr Rashmi N, Consultant - Obstetrician & Gynaecologist, Motherhood Hospitals, Bangalore

Pregnancy Week-by-Week