Ankle swelling during pregnancy: Is it a concern?

What causes ankle swelling during pregnancy? Should I be concerned about severe swelling?

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Mayo Clinic obstetrician and gynecologist Roger Harms, M.D., and colleagues answer select questions from readers.

Answer

Foot and ankle swelling during pregnancy is common and almost always goes away after delivery. You may notice that it's worse at the end of the day or during hot weather.

So what causes foot and ankle swelling during pregnancy? Your body produces and retains more fluid during pregnancy. Also, your growing uterus puts pressure on the veins to your legs — especially in the later months of pregnancy. This impairs return of blood to the heart and causes more fluid to build up in your legs, ankles and feet. Standing for long periods can increase this pressure.

To manage or relieve leg swelling during pregnancy:

  • Take breaks during the day when you can sit with your feet up. When possible, go a step further and lie down with your legs elevated for an hour in the middle of the afternoon.
  • While sleeping, lie on your side or elevate your legs slightly with pillows.
  • Don't cross your legs when you sit.
  • Use a footrest when sitting.
  • Avoid standing or sitting with your feet on the floor for long periods.
  • Stay cool because heat can make the swelling worse.
  • Swim, walk or even stand in a pool at least 4 feet deep. The buoyancy of the water helps lift the baby off your pelvis.
  • Avoid tight clothing.
  • Wear supportive, elastic hose; regular nylons won't help.
  • Exercise regularly.
  • Apply cold-water compresses on swollen areas.

Although mild foot and ankle swelling during pregnancy is normal, call or see your doctor promptly if you have:

  • Severe or sudden swelling. This could be a sign of a serious condition called preeclampsia. Other signs and symptoms of preeclampsia include severe headaches, blurred vision and dizziness.
  • Swelling in only one leg, especially if you have pain or tenderness in your calf or thigh. This could be a sign of a blood clot.

Source:
www.mayoclinic.com

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