Swelling during pregnancy is common and usually becomes noticeable in the second and third trimesters. It often occurs in the feet, ankles, and fingers and tends to be more apparent at the end of the day, typically going down by the next morning. This normal swelling happens due to increased fluids in the body and pressure from the growing uterus on blood vessels, which slows blood flow and causes fluid to collect in tissues.
However, swelling should be a concern and medical advice sought if it occurs suddenly, severely, or is accompanied by other symptoms. Warning signs include:
- Sudden and severe swelling in the face, hands, or around the eyes
- Swelling that is one-sided (e.g., one leg or arm)
- Swelling with pitted edema (indentation remains when pressed)
- Headaches, changes in vision, severe abdominal pain, or sudden weight gain (potential signs of preeclampsia)
- Swelling with pain, redness, warmth in a limb (possible blood clot)
- Other symptoms like vomiting, high blood pressure, or severe headaches
If these symptoms occur, immediate consultation with a doctor or midwife is advised as they may indicate serious conditions such as preeclampsia or venous thromboembolism, which require urgent care.
In summary: Mild and gradual swelling is normal in pregnancy, but sudden, severe, or symptomatic swelling should prompt immediate medical evaluation.
