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See more conditions. Request Appointment. Healthy Lifestyle Pregnancy week by week. Products and services. What causes ankle swelling during pregnancy — and what can I do about it? Thank you for Subscribing Our Housecall e-newsletter will keep you up-to-date on the latest health information. Please try again. Something went wrong on our side, please try again. Show references Bamigboye AA, et al. Interventions for varicose veins and leg oedema in pregnancy.
Cochrane Database of Systematic Reviews. During pregnancy, edema occurs when body fluids increase to nurture both you and your baby and accumulate in your tissues as a result of increased blood flow and pressure of your growing uterus on the pelvic veins and your vena cava the large vein on the right side of your body that returns blood from your lower limbs to your heart. This causes you to experience this oh-so-necessary increase as oh-so-annoying swelling — particularly swollen ankles and feet but also your hands, as you may have noticed when you last tried to take off your rings.
You might also be sporting more swelling in your feet if your weight gain has been on the faster side. It's also just as normal not to experience noticeable swelling one in four lucky pregnant women don't. However if your hands or face become puffy or if swelling persists for more than a day at a time i. Excessive swelling can be one sign of preeclampsia — but when it is, it's accompanied by a variety of other symptoms such as elevated blood pressure, rapid weight gain and protein in the urine.
If your blood pressure and urine are normal they're checked at each prenatal visit , there's nothing to be concerned about. Rarely, swelling in the legs could be a sign of deep vein thrombosis DVT , a potentially life-threatening condition that occurs when a blood clot forms in a deep vein. If you notice any of these signs, call your practitioner right away. If you stick with your old shoes, your feet may feel pinched.
After a few months, the swelling will recede and the extra weight will fall away usually. But although your joints and ligaments will tighten up, your feet may remain permanently larger — up to a full shoe size.
Shoe shopping, anyone? What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy. However, preeclampsia may also be present if the protein level in urine is normal.
High blood pressure with headache, changes in vision, abdominal pain, or abnormal blood or urine test results may also indicate preeclampsia.
If peripartum cardiomyopathy is suspected, electrocardiography, chest x-ray, echocardiography, and blood tests to check heart function are done. Lying on the left side, which moves the uterus off the large vein that returns blood to the heart inferior vena cava.
Wearing loose clothing that does not restrict blood flow, particularly in the legs for example, not wearing socks or stockings that have tight bands around the ankles or calves. Some swelling in the legs and ankles is normal physiologic during pregnancy and occurs during the 3rd trimester. Doctors can identify serious causes of swelling based on results of a physical examination, blood pressure measurement, blood and urine tests, and sometimes ultrasonography.
If pregnancy itself is the cause, swelling can be reduced by lying on the left side, elevating the legs periodically, wearing support stockings, and wearing clothing that does not restrict blood flow. Merck and Co. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.
The Manual was first published in as a service to the community. Learn more about our commitment to Global Medical Knowledge. This site complies with the HONcode standard for trustworthy health information: verify here. Common Health Topics. Common causes Less common causes Risk factors.
Warning signs When to see a doctor What the doctor does Testing. Key Points. Symptoms During Pregnancy. Test your knowledge. Maternal infections that develop after the delivery of a baby usually begin in the uterus. The likelihood of developing a uterine infection is increased with which of the following types of delivery?
More Content. Common causes Usually during pregnancy, swelling is. Physiologic edema. Peripartum cardiomyopathy causes shortness of breath and fatigue as well as swelling. A previous episode of deep vein thrombosis. A disorder that makes blood more likely to clot, such as cancer or kidney or heart problems. Preeclampsia during a previous pregnancy or a family member who has had preeclampsia. For peripartum cardiomyopathy, risk factors include the following:.
Age 30 or older. In pregnant women with swollen legs, the following symptoms are cause for concern:. Women should go to the hospital immediately if they have.
Symptoms that suggest preeclampsia or a heart disorder. When the swelling started. Whether any activity such as lying on the left side lessens or worsens it.
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