Swollen Feet & Ankles
Swelling (edema) in the feet, ankles, and hands is very common in pregnancy, especially in the third trimester. It's caused by increased blood volume and fluid retention.
Common Causes
- 50% increase in blood volume and body fluids during pregnancy
- Growing uterus putting pressure on pelvic veins, slowing blood return from legs
- Hormonal changes causing fluid retention
- Hot weather, standing for long periods, or high sodium intake
Remedies That May Help
Elevate Your Feet
Prop feet above heart level when resting. Even 15-20 minutes several times daily helps.
Stay Hydrated
Counterintuitively, drinking more water helps reduce fluid retention by flushing sodium.
Compression Stockings
Graduated compression stockings improve circulation and prevent fluid pooling in the legs.
Gentle Movement
Walking, ankle circles, and calf stretches keep blood circulating and reduce pooling.
Reduce Sodium
Cut back on processed foods high in sodium which contributes to water retention.
When to Call Your Doctor
- Sudden, severe swelling in face or hands (possible preeclampsia sign)
- Swelling in only one leg with pain or redness (possible blood clot)
- Sudden increase in swelling accompanied by headache or vision changes
- Pitting edema (skin stays indented when pressed)
Frequently Asked Questions
Is swelling normal in pregnancy?
Mild swelling in feet and ankles is very common and usually harmless, especially in the third trimester and during warm weather. About 75% of pregnant women experience some edema.
When should I worry about swelling?
Sudden, severe swelling — especially in the face and hands — can be a sign of preeclampsia. Contact your provider immediately if swelling comes on quickly or is accompanied by headache.
Will the swelling go away after birth?
Yes! Most swelling resolves within 1-2 weeks postpartum as your body releases the extra fluid. You may actually sweat and urinate more than usual as fluids clear.