Swelling during pregnancy very often appear in future mothers, especially late time. They are not always a threat to the development of the baby, however, can signal any violation or pathology of pregnancy. That is why the emergence of edema in pregnant women draws close attention from doctors.

The main thing in the article

The reasons for the appearance of edema in late pregnancy

Usually visible edema appear in late pregnancy, namely, in the third trimester. Before starting the fight against them, it is necessary to identify the causes of their occurrence. For each of the future mothers background of the appearance of the swelling individual:

• increased fluid need : During pregnancy, the woman's body needs a larger blood volume, which is accompanied by an increase in arrogant water. As a result, the body tries to reduce blood viscosity: with the help of hormones, it provokes a feeling of thirst and the pregnant woman begins to use more fluid. That is why there is nothing surprising in some swelling of the feet of a woman who is carrying a child. Such edema do not require special treatment and are usually normally transferred to pregnant in later timing;

• often swelling feet provoke varicose extension of veins arising during pregnancy: blood outflow from lower extremitiesAs a result, the veins on the legs become overcrowded. This leads to the emergence of extensive edema in the field of stop.

• if pregnant problems with kidneys , then swelling can accompany it throughout the entire period of tolerance. And although the kidneys work in a special voltage mode, it is not always possible to remove the entire volume of excess fluid from the body.

• the cause of increased swelling can be guestless - A disease in which in addition to excessive fluid delay in the body there is also an increase in pressure and a high protein concentration in the urine.

Depending on the reasons for the appearance of edema of pregnant women, a certain treatment or prophylactic measures are prescribed to facilitate its condition.

Edems of legs and hands during pregnancy: how to remove?

At each reception, the gynecologist especially carefully examines the legs of a pregnant woman and its ankle. The woman herself can determine how much her legs swell, turning attention to the trail from the sock gum, which appears on the ankle. Strongly swelling legs are not easy to place in a convenient footwear. The skin on the legs becomes a flabby, and, if you press on the enemy's shin or ankle, the recess will remain, which disappears not immediately, and in a couple of minutes. Is it worth saying what discomfort deliver swelling of a pregnant woman?

Remove the edema of the legs during pregnancy will not completely fail, but it is possible to alleviate its condition,

• a slightly reduced fluid intake, having ceased to eat too salty food, after which he really wants to drink, and the excessive salt content in the menu of the pregnant woman delays the liquid in its organism.
• Many women helps special gymnastics and massages against edema, as well as lying with legs raised up.

• If a woman has a lot to sit, you can put your feet at a nearby chair: it will significantly reduce the risk of ankle edema.
• For the prevention of varicose varicose and edema, as well as just good well-being, you can wear compression stockings or tights.

During the tooling of the baby, many women also complain about the edema of the hands and fingers: at the same time, the limbs are slightly eager, pain in the wrist area occurs, pregnant feels unpleasant tingling in the fingers, and the decorations can not be on them.

This state is most often observed in women whose work is associated with "manual" work: knitting, sewing, modeling, work at a computer. Under hand swells, gymnastics and warm-up for fingers and wrists, which must be made several times a day are helped.

Remove swelling also helps the intake of magnesium, vitamin E and special polyvitamins for pregnant women.

Types and stages of swelling during pregnancy

Edems in pregnant women can wear a clear and hidden character:

• the first are also called physiological and are visually noticeable: the face swells, they swell the ankles, they are eagerly hands, traces of socks appear on their feet, and the usual shoes becomes "Mala";
• second - "Hidden" Edema, which indicates an abnormal increase in body weight (more than 500 g per week).

There are several stages of edema in late pregnancy:

• "Normal" Eveny. It is believed that during pregnancy a woman should not gain more than 10-13 kg (depending on the growth and complex). After 28 weeks, a weekly weight gain in a pregnant woman should be not more than 350-500 g.

If the future motley adds a little more than the norm in weight due to the delaying fluid in the body, such edema will be considered "normal". They are usually not reflected in the overall state of pregnant women, localized in the ankle area, appear only in the evening, and by morning they disappear safely.

Such a swelling is not dangerous for the fetus and "corrected" feedback adjustment and a light diet.

• swelling, the appearance of which wears hidden or rapid character. Such edema can be not visible to the naked eye, but the weight of the pregnant woman is growing rapidly. With this stage of the swelling, hands, wrists, belly, loin, face and neck can be effined. If edema on legs, hands or face are not expressed, it may be a sign of the appearance of internal edema, which are already dangerous to the fetus.

• "Sestos" - The pathology of pregnancy, which consists in the formation of substances in the placenta, which literally "corrupt" the vessels, make holes in them through which the protein is washed out of the blood and falls into the urine. Due to the fact that the vessels are dehydrated, the pregnant woman rises and the blood is rummed, which often leads to thrombosis.

Sestos is still dangerous in what leads to a placenta edema, a violation of the uterine-placental exchange and a slowdown in the intrauterine development of the fetus. In this form of the swelling of the pregnant woman shows the mandatory hospitalization: patients prescribe droppers, filling the lack of protein in the body.

Diet against edema in late pregnancy

When registering, each future mother receives recommendations from the doctor to organize its diet, which concern and ways to avoid edema during pregnancy. Thirst for pregnancy is explained by the natural increase in the body's need for fluid.

In this regard, it is impossible to reduce the use of water, but it is important to abandon harmful drinks, such as sweet juices and soda. To reduce edema, you must observe the following principles of diet :

• drink more clean water and fastening green tea;
• drink and eat often, but in small portions;
• remove the Fast Food, Smoked products and other "harm" from the menu, provoking thirst and appetite.
• reduce the amount of salt in food, but it is not recommended to remove it from the diet;
• provide a nutrition rich in proteins that are necessary for the growing body of the kid: eating more cottage cheese, meat, fish and liver;
• do not forget about complex carbohydrates and fiber: in the menu of the future mother must be present different types Kash, as well as vegetables and fruits.

The basis of diet against edema is healthy, rational nutrition; The total caloric content of products should not exceed 3500 calories per day.

Treatment of edema: drinking mode and salt

In order to prevent edema or get rid of them in the first stage, it is important to comply with the right drinking and salt modes. Remember several rules that will help prevent swelling:

• in the third trimester, it is necessary to take yourself in hand and abandon all sorts of pickles: they always provoke thirst, and the salt does not give liquids to leave the body in a timely manner;

• if the tendency to swells is obvious, it is necessary to restrict the use of fluid: to drink no more than 1-1.5 liters of water per day, several sips, every 30-40 minutes;

• for more thickening, thirst must not increase the amount of water consumed, but to add fresh lemon juice to it;

• perfectly quenching the thirst of the robe of rosehip and cranberry morse, tomato juice (without salt!) And herbal decoctions;
• if physical exertion provoke the desire to constantly drink, it is better to cut them a little, and also try to go less in stuffy places and under the outdoor sun.

Folk remedies from edema during pregnancy: homeopathy with a diuretic effect

Reception of medicinal diuretic drugs during edema in pregnant women is usually not encouraged by doctors, as it can cause an increase arterial pressure In pregnant women, dizziness and nausea, as well as various pathology for the development of the fetus. Therefore, many pregnant women resort to "folk" therapy, which has many recipes causing a diuretic effect:

• eliminate swelling can be regularly taking medicinal diuretic herbs: lingonberry leaves, hawthorn, field chewing or tooling;
• a decoction from the Kuragi, taken in half an hour before the meal will help the fluid to leave the body in a timely manner;
• the infusion of the dispute and birch leaves, taken twice a day, will save from edema (1 st. Composition of a mixture of grass is poured with a glass of water and is boiling for 15 minutes, after which it is insisted for 2 hours);
• natural diuretics are watermelons, melons, parsley, cucumbers and tomatoes: you can make the kidneys work even better for these products.

Massage and baths from leg edema during pregnancy

Cool water baths are a good tool to get rid of edema during pregnancy. The water temperature should not be too cold: 22-23 degrees; If you add a pre-brewed relaxing herbal collection to such a bath, you can achieve even greater effect.

After completing the bath, you need to lie down and relax a little on your side, lifting your legs or putting them on the pillow, and then make a light massage of the feet with smooth rubbing, circular motions. The correct massage will improve blood circulation and help the veins cope with its stagnation.

Medications from edema during pregnancy

Drugs from edema during pregnancy must have a diuretic agent. Such drugs can be natural and synthetic. Most of the latter are categorically prohibited by future mothers.

Reception of drugs such as hypothiazide, furosemide, dichlotiazide, theobromin, triamtenene can not only worsen the general condition of pregnant, but also to affect the health of the baby.

The abuse of these drugs can cause malformations of organs of vision and hearing in the infant, disrupt the work of its liver, to cause the development of tachycardia and renal failure.

Before the intake of this or that medicinal product from edema, it is important to consult with your doctor. Most often, pregnant are prescribed:

• kanefron - a rosemary-based preparation and a loving, which has an anti-inflammatory, diuretic and antiseptic effect;
• phytolysin, which "assembled" from a variety of herbs and oils; helps women without visible inflammatory processes;
• eufillin - has a good diuretic action, however, is contraindicated in heart disease and hypotension.

Reception of lipoic acid and vitamin E serve as excellent prevention of intercom and reduce the likelihood of hidden edema.

Kanefron during edema pregnancy: instructions and reviews

Kanefron is a means of plant origin and effectively reduced swelling during pregnancy.

Available in the form of dragee and in the form of alcohol droplets. Its action is based on:

• reduce the permeability of kidney capillaries;
• noticeable diuretic action;
• strengthening the kidney function;
• antiseptic and antispasmodic effects.

Typically, gynecologists prescribe a canofron to their patients (regardless of pregnancy time), indicating the most effective shape and dosage of the drug in the recipe. In pharmacies most often offer a canofron in the form of droplets in a bottle of 100 ml or in the form of a dragee, 50 pcs in the package.

Preparation options for pregnant women:

• 2 tablets twice a day before meals;
• 20-30 drops 3 times a day or 50 drops 2 times a day.

Judging by the reviews about the drug Kanefron, it practically does not have contraindications and produces a noticeable diuretic effect. Using a canofron, you need to not forget to drink clean water - it will only increase the effect of the means.

Cream for pregnant women from edema, varicose veins and fatigue

Along with folk remedies and drugs, creams and ointments are widely used from edema and varicose expansion veins during pregnancy. The most efficient and popular creams today are:

• Thrinksevazin ointment - it has an excellent absorbing effect, indispensable in symptoms of thrombosis, reduces the incidence of capillaries;
• Varicobuster - gives an anesthetic effect, activates blood circulation and eliminates the swelling;
• Varicose veins - a unique natural cream from varicose veins in its composition; reduces blood coagulation, has an anesthetic effect, eliminates fatigue;
• Heparinovaya ointment - neutralizes inflammation, prevents the occurrence of blood clots, activates blood circulation;

To date, various Chinese creams from varicose and swelling are actively used, which stimulate metabolic processes and have a beneficial effect on the vessels in general.No less popular uses extract-based cream horse chestnut which, reducing the degree of blood clotting, eliminates the likelihood of blood clots and edema during pregnancy.

This drug can be called the most effective cream from the varicose veins, since it significantly increases the strength of the vessels and their tone, prevents the occurrence of the abandon and eliminates fatigue.

And yet, the greatest effect in the fight against edema can be achieved by combining several methods of their elimination: to observe a light diet, stick to the optimal drinking mode And consume suitable diuretic drugs, consulted with a doctor.

Swelling legs during pregnancy in late terms: how dangerous and how to treat

The last months of pregnancy create a feeling of happiness soon, but the mood elevated from hormones can overshadow a serious problem. Swelling feet in pregnant women in late terms - This is not such a rare phenomenon. Growing fruit requires more space in the stomach and shifts the internal organs, which is why swelling of various parts of the body arise. They can be a physiological norm or, on the contrary, are dangerous for the child and demand treatment.

• Why appeal appears
• Attention! Summer
• How to remove edema in the heat
• What can swell in pregnant women
• Effects
• Hand swelling
• Edems on the legs
• Swelling face
• Pastosity of genital organs
• Drinking mode
• Treatment
• Local therapy: gels, creams from edema during pregnancy
• Treatment in hospital
• Therapeutic diet and approximate menu
• Exercises and gymnastics for home
• Treatment with folk remedies and recipes
• Diagnostics

Causes of edema, which is not so with a pregnant organism

The edema appears due to a sharp increase in the uterus: water accumulates in the body, internal organs, nerves and blood vessels squeezes, the passage of oxygen is overlapped to the limbs, the urine outflow is disturbed and stagnant in the bloodstream.

Most of the edema accounts for women who are carrying the child for the first time, but the first child is not the main cause of pathology.

During gestation, the level of progesterone is growing. Its main effect is the relaxation of smooth muscle muscles. And this type of muscle tissue is present in most of the internal organs:

• in the vascular wall of the veins and arteries;
• in the esophagus, intestine, stomach, bile bubble, biliary ducts;
• the uterus;
• in the ureters and bladder.

Progesterone is the main reason for the formation of edema. All other secondary or depend on the influence of this hormone. It is because of it, heartburn arises, constipation and swelling during pregnancy.

Other reasons for edema in pregnant women:

• Chronic diseases: cardiovascular (increase in load), endocrine, urogenital systems, from vessels - or deep vessel thrombosis.
• Uncontrolled consumption of salted food.
• Narrow clothes and uncomfortable shoes: leggings ,.
• Protein deficiency (hereditary or due to improper nutrition or loss of proteins on the background of gestational nephropathy).
• - Toxicosis in pregnant women. In addition to edema, hypertension appears (an increase in blood pressure) and. In the risk group, adult women are: (from), pregnant twins or triples, smokers, suffering from episodic convulsions or with chronic diseases of the cardiovascular system.

The accumulation of fluid occurs from the bottom-up, so the first edema appears in the legs. Pastosity Stop looks like thickening of the skin, swelling of the subcutaneous layer of fat. It is easy to distinguish, as repellent veins on the leg completely close, folds may form. Usually swelling look like in the photo.

To check whether there is a cluster of weak plasma on the lower extremities you need to press with a thumb soft fabrics To the tibia. This bone is located on the front of the tibia. If, after pressing for 3-5 seconds, the recess remains - it is swelling. Moreover, the degree of swelling is higher, the higher the pump remains at pressing.

Gestosis is dangerous in that it causes swelling of internal organs, including the placenta, which are fraught with a disorder of exchanging oxygen between the mother and the fruit. Late last period - threatening condition for both. Therefore, a woman and an obstetrician-gynecologist should be alertness in its presence. When confirming the state in severe cases, the pregnant women are hospitalized and prescribed intensive treatment.

Attention: summer and heat

Speaking about the causes of the development of edema syndrome, pregnant women need to mention the time of year. In the summer, especially in the heat, swelling are developing faster, stronger and relieve them more difficult. This is due to the physical influence of heat, which affects relaxingly on the vessels:

• blood flow slows down;
• perfusion pressure in vessels increases;
• more fluid is hegan to the intercellular space.

Therefore, if 3 trimesters of pregnancy falls on the hot season, your actions should be aimed at preventing the appearance of edema.

What can be done in the summer to facilitate the state

You can remove or alleviate swelling with the help of a contrasting shower for the legs. The temperature difference will allow you to "wake" vessels and return to the tone. Hardening exercise best tool To prevent the edema of the lower limbs in the third trimester.

What can swell in pregnant women?

In addition to stop, edema are subject to hands and fingers, face, nose mucous membranes, mouth, genitals. The most dangerous during pregnancy hidden edema. They are distinguished by the absence external symptoms: The body does not get tired, the muscles do not hurt, the skin thickening is invisible, but weight is rapidly gaining. Therefore, in the female consultation, where you are watching, before a visit to the Akuster-Gynecologist, control weighing must be carried out.

Since the edema fluid accumulates in the intercellaneous space of internal organs, in a chronic disease, it is possible to determine which part of the body is in the greatest danger. Mothers with cardiovascular diseases are more often swelling legs, loins and feet. Women with kidney diseases under the blow can get any body, including face and hands.

The average period of occurrence of edema during pregnancy -. But later swelling on, and even. And early - with.

Than dangerous swelling in late pregnancy

Edema on the last month of pregnancy associated with chronic diseases causes a rapid range of weights (about 300-400 g per week) and is dangerous fast spread throughout the body. The elaborates are compressed by the vessels, sodium and oxygen exchange is disturbed, the child does not have the nutrients and can be born prematurely. To exclude such consequences of pregnant women constantly watch the hospital.

Significant risks for the fetus arise only when a woman does not report on swells and gives them progress.

Swelling feet during pregnancy

The most common localization of edema during pregnancy - legs. The liquid accumulates in the body and under the action of gravity is lowered down, in the ankles.

At night, when a woman lies in a horizontal position, the liquid moves along the legs above and in the morning swelling can decrease. Such a state is normal for pregnant women. Perhaps easy tingling and short-term numbers of limbs. From morning pastosity helps and charging.

You can reduce weak edema yourself. During sleep, it is recommended to raise legs - lay them on an extra pillow.

It is necessary to be less in a vertical position without movement, wearing comfortable shoes (especially if a flatfoot is diagnosed to any extent), make a foot massage or gymnastics, wearing compression stockings and drink 1.5 liters of fluid per day in small portions.

If the swelling remain in the morning in the same size or starts swelling other parts of the body, it is necessary to inform the gynecologist. Swelling feet during pregnancy can be an indirect sign.

Hand swells in pregnant women

Determine there is a swelling of hands during pregnancy or not in two ways:

• in the morning, put on a finger ring, when swelling in the evening, swelling is formed around the ring, and the decoration itself will be harder to remove;
• take a tight gum and put on your hand, with a swelling in a few minutes, the skin under a rubber is pressed, and after removing it is still visible by a dent.

Hands of hand brushes usually do not cause discomfort. The fingers hurt if you print on the keyboard for a long time. To avoid swelling when working at a computer, it is enough to put the elbows on a flat surface, it is desirable to put a soft pillow, and every 10-15 minutes to give the hands to relax.

The simultaneous edema of the hands and legs is a sign that the cardiovascular system, along with the lymphatic, do not cope. In late pregnancy, the heart is experiencing increased loadAnd the venous blood is bad "pumped" from the limbs to the heart. because of high pressure The walls of the veins are expanding and shaped fine holes, through which the fluid is healing the intercellular space. At the same time, thrombophlebitis is sharpened. You can suspect about the inflammation of the veins if one leg energized the other.

If the edema fingers do not pass by themselves, the doctor is strict diet and control over the fluid entering the body. In the launched cases, drugs are prescribed separately, enhancing blood flow in the kidneys and vitamins B, E and A.

Swelling face

Person swelling manifest themselves later, sometimes before childbirth. In the morning, the weak swelling of the eyelid is noticeable. In severe cases, the area under the eyes constantly swells and the contour of the face changes.

On the early timing Rubber is developing or nasal congestion, which sometimes accompany pregnant to the most. The face swells often with an increase in salt load at night. It is necessary to exclude the use of salt-sharp dishes.

With swelling of the face, they fight the same way as with the eductions of the hands and legs: a strict diet, fluid control, baths, moderate physical exertion.

Swelling of the genital lips

Head of genitals for 9 months is not always dangerous, more often the fatty tissue increases so that the child is easier to go through the generic paths. But such an increase in the genital lips is not accompanied by a constant sensation of discomfort.

If, together with the edema, the vagina is constantly itching or the selection is acquired by a green, yellow shade, then we can talk about infection and. In this case, additional laboratory and instrumental diagnostic methods are prescribed individually, then drug preparations are prescribed.

If the edema gives discomfort, but the allocation is normal, a common diet is assigned, drinking mode and a warm bath.

Drinking mode with swelling

In the third trimester, the circulation rises by about 40%, which is why the body needs more fluid - about 1.5 liters per day, taking into account the first dishes, juicy fruits and vegetables. Moreover, during a full dinner, it is important to reduce the amount of salt to 1.5 g, it has the property to delay the liquid. In the morning and in the evening you have to drink a glass of kefir or. And it is better to drink an infusion of hawthorn or kidney fee. If the drinking regime adhere to the drinking mode, and the body constantly requires more water - it is necessary to drink, it is impossible to straighten yourself during pregnancy.

You need to know that the fluid in the body is delayed not only salt, but also sugar. Therefore, the diet provides for the exception of sweet dishes. But most of all, the formation of edema in pregnant women affect the Sugar - Salt complex. These two products potentiate each other in the development of edema syndrome.

To get rid of edema during pregnancy, it is forbidden to independently take diuretics (diuretic). In the event of a choice during pregnancy, the wrong drug will begin to remove the useful substances, depriving macroelements and a child, and mother. Only a doctor on the basis of analyzes can assign diuretic.

Treatment: Medicines and Reception Rules

During pregnancy, it is allowed to take the following drugs under the control of the doctor:

1. Triampur (with heart disease, liver and kidney) - 2 tab. / Day. in the morning and in the evening for 20 days;
2. Kanefron - 1 tablet 2 times a day before meals for 15 days;
3. Eufillin - 0.15 g. 2 times a day;
4. Hofithol (organic artichoke-based drug) - 3 tab. / Day. before eating;
5. Furosemid - 1-2 tab / day.

Excess drugs in the 3 trimester affect the child. The exact dosage can be appointed only in the hospital. Any of drugs complement diuretic products:, oatmeal, eggplant, celery or. In severe cases, only medication helps.

Local preparations to get rid of edema

Local means are helping to deal with enemy syndrome - gels and creams based on heparin. It improves the rheological properties of blood, warns the formation of blood clots and restores the vascular wall, thereby helps to avoid swelling in pregnant women on their feet, hands and under the eyes on the face.

Treatment of edema in late pregnancy creams and gels without negotiation with the doctor - forbidden!

Treatment of edema during hospital pregnancy

With a pronounced edema syndrome, hospitalization of a pregnant stay in the hospital stay or day hospital may be recommended.

In the hospital, if necessary, prescribed vascular preparations and introduce them with a dropper. In this way, pentoxifylin, euphilline treatment is carried out. If briefly, these drugs will help the kidneys filter out the excess amount of fluid accumulated in the body future momAnd cope with edema.

Previously, for this purpose, the drug was prescribed magnesium sulphate (Magnesia), but progressive experts gradually "go". The effect of it is insignificant and doubtful in terms of health of the fetus.

Diet

The table shows the allowable dishes for each meal, the diet is based on preferences of the pregnant woman.

Table 1.