A common discomfort of pregnancy, ankle swelling develops in about 3 out of 4 pregnancies. Ankle swelling is often worse later in the pregnancy, at night, and in hot weather. Most cases of ankle swelling that develop during pregnancy will resolve after delivery. Ankle swelling is also known as edema.

Causes of Ankel swelling During Pregnancy

During pregnancy the body manufactures extra blood and other fluids to support the baby’s growth. The average amount of fluids the body accrues is around 6.5 Liters. Some of this extra fluid settles in the feet and legs due to the effect of gravity on the body. The weight of the growing uterus is also a factor in ankle swelling. The uterus puts pressure on the veins of the legs, and decreases their ability to return blood to the heart resulting in fluid buildup in the legs.

Symptoms of Ankel swelling During Pregnancy

You may have ankle swelling if your feet and ankles are:

• Swollen
• Have skin that is tight in the area
• The skin may appear shiny
• The skin may appear purplish in color

Treatment of Ankel swelling During Pregnancy

To treat swollen ankles during pregnancy:

• Stay off your feet as much as possible
• Take periodic breaks if you must stand, and elevate your feet above the level of your heart
• Sleep on your left side to improve circulation
• Use a footrest when sitting and do not cross your legs
• Stay cool in warm weather
• Use a swimming pool that it at least 4 foot deep. The water will help support the weight of the baby and improve circulation
• Wear loose fitting clothing
• Talk with your health care provider about using support hose
• Do not wear tight fitting socks or hose that have tight elastic bands around the foot or ankle area
• Wear comfortable, loose fitting shoes
• Exercise regularly to improve circulation
• Apply cold compresses to reduce swelling
• Increase the amount of fluids you take in. This will help to flush out impurities and improve blood flow.

When to call the doctor

Swollen ankles are typically of little concern, but you should call your doctor immediately if you have:

• Swelling that comes on suddenly or is very severe, as it could indicate preeclampsia.
• Ankle swelling that is accompanied by swelling of the hands and face
• Swelling that is only in one leg, ankle or foot
• Pain or tenderness in only one leg.