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  |  Pregnancy  |  3rd Trimester  |  Swelling: how much is too much?
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Swelling: how much is too much?

by Peg Plumbo

question
I am in the 37th week of my second pregnancy and have severe swelling of my hands and feet. I have no other pre-eclampsia symptoms. I know that some swelling is normal, but mine is so pronounced in the mornings I can barely close my hands to make a fist. My hands and feet also fall asleep easily. Is this normal?

answer
Oedema is a physiological complaint that is present in many normal pregnant women. If it is not accompanied by protein in the urine, a rise in blood pressure, headaches, visual disturbances and abdominal pain, it is unlikely that pre-eclampsia is the cause. If you did not suffer pre-eclampsia or hypertensive disease of pregnancy with the first baby, your chances are remote, but still possible.

You want your body to mobilise the fluid so maximising the output of the kidneys is a good idea. Increase your intake of fluids and protein and rest on your left side several hours a day. The kidneys work better when you lie on this side due to their position in reference to the pelvic brim. Mild exercise such as walking and stretching will help as well.

Although rare in young women without other symptoms, oedema may be present as a result of kidney or heart problems, so it would be wise to ask your doctor about this.

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