Why RLS Happens More Often During Pregnancy

Restless legs syndrome can be an unexpected part of pregnancy for many women. If you often feel the need to move your legs at night, you’re not alone. This blog will gently walk you through why it’s more common during pregnancy, what might be causing it, and safe, simple ways to ease the discomfort.

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Being pregnant brings about many changes in your physical and mental outlook. Some of them you will know beforehand, but others might surprise you. Strange, crawling, or tingling sensations on your legs, especially when you're trying to relax and go to sleep, may be a surprise. Here, if you feel like you cannot stop moving your legs at night, you could be suffering from restless legs syndrome.



RLS can commonly occur during pregnancy. Although it is not dangerous, it does affect your sleep and comfort. Understanding why it happens and what its meaning is to the body will help you comprehend the mechanisms that accompany it, enabling you to manage the feeling during this crucial time in your life.


What is Restless Legs Syndrome (RLS)?

Restless legs syndrome (RLS) is characterised by an intense urge to move the legs. Your legs may feel like they are itching, tingling, tugging, or crawling. These sensations usually occur in the evening or at night and can worsen when lying down or at rest.

You may find that moving your legs provides some relief, but the discomfort often returns when you try to rest again. RLS can happen to anyone, but it happens more often during pregnancy (especially during the second and third trimesters).


Why Does RLS Occur More During Pregnancy?

There is no single cause of RLS, but pregnancy brings several changes that may make the condition more likely to appear. Let’s look at some common reasons:

  • Iron and folate deficiency: Your body requires additional iron and folate during pregnancy to support the developing fetus. If your levels of these nutrients drop too low, it can affect how your brain and nerves work. Low iron, especially in the brain, is strongly linked to RLS symptoms. Since iron helps regulate dopamine (a brain chemical that controls movement), a deficiency may lead to RLS.
  • Hormonal changes: During pregnancy, hormone levels, particularly estrogen and progesterone, rise. While these changes support the pregnancy, they may also affect your nervous system and sleep patterns. RLS may occur as a result of this change.
  • Changes in blood circulation: Blood volume increases during pregnancy, and your expanding uterus compresses your blood vessels. This could impact blood flow to your legs and contribute to the symptoms of RLS.
  • Lack of sleep or disrupted sleep: Fatigue and poor sleep are already common during pregnancy. If you are not sleeping well, it can exacerbate or intensify RLS symptoms. Restlessness and sleeplessness often go hand in hand.
  • Family history of RLS: If others in your family have experienced RLS, you may be more likely to develop it during pregnancy. Genetics can play a role, and pregnancy may make the symptoms more noticeable.


How RLS Affects Your Pregnancy

RLS itself does not harm your baby, but it can interfere with your sleep and comfort. Poor sleep can lead to higher stress levels and increased fatigue, which can impact your overall well-being and mood throughout the day.

If you are consistently tired or struggle to get restful sleep, consult your healthcare provider. They can help you find safe ways to manage your symptoms without affecting your pregnancy.


What Can You Do to Manage RLS During Pregnancy?

Although RLS can be frustrating, there are several simple ways to reduce symptoms:

  1. Check your iron levels: Discuss with your doctor the possibility of testing your blood for iron and ferritin levels. If they are low, iron supplements may help reduce RLS symptoms. Take vitamins only as directed by your doctor.
  2. Practice good sleep habits: Try to keep a regular sleep schedule. Avoid screens, caffeine, and large meals in the hours leading up to bedtime. Create a cool and dark bedroom environment to promote better sleep.
  3. Stretch and move gently: Light stretching, walking, or prenatal yoga can improve blood flow and ease discomfort. Avoid standing or sitting still for extended periods.
  4. Warm or cold compresses: Some women find relief by placing a warm or cold cloth on their legs. You can try both and see what works best for you.
  5. Massage and relaxation: Massaging your legs or taking a warm bath before bed may help relax your muscles. You can also try breathing exercises or guided relaxation techniques to calm your body.
  6. Talk to your doctor about medication: In most cases, RLS during pregnancy can be managed without medication. However, if your symptoms are severe and affecting your quality of life, your doctor may suggest treatment options that are safe during pregnancy.

Restless legs syndrome during pregnancy can raise hassle and discomfort, much like the many changes the body undergoes. While there is a prevalence of RLS in pregnancy, there are no harmful effects on your baby, and many cases can be resolved through lifestyle changes.

Listen to your body and never hesitate to discuss it with your doctor if symptoms are interfering with your sleep or day-to-day activities. Taking care of it will help alleviate the condition, and you will be able to set your mind free to prepare for welcoming your baby.


FAQs on Why RLS Happens More Often During Pregnancy

  1. Is RLS during pregnancy a sign of a serious problem?
    No, it is not dangerous, and it does not harm your baby. It is uncomfortable but commonly occurs during pregnancy, and it generally disappears after delivery.
  2. Can I take medication for RLS while pregnant?
    Mostly, women try to avoid medication for RLS during pregnancy. If it becomes severe and intolerable, the doctor will recommend treatment options considered safe for you and your condition.
  3. Can diet help with RLS during pregnancy?
    Yes, it will. Consume foods rich in iron, such as leafy greens, lentils, and lean meats, to help maintain healthy iron levels. Also, be sure to stay hydrated by drinking enough water and limiting caffeine intake, especially in the evening.
Disclaimer: Medically approved by Dr Meenakshi Banerjee, Senior Consultant – Gynecologist and Obstetrician at Cloudnine Group of Hospitals, Kailash Colony, New Delhi