During pregnancy, many pregnant mothers will have lower limb edema, and some of the increasing situation in the third trimester may affect walking or even wearing shoes.
Edema during pregnancy is divided into physiological and pathological edema.
Physiological edema
Physiological edema is more than mild puffiness that appears in the lower half of the ankle and lower legs in the late pregnancy, which can be removed after rest.
The main reason is that the increase in the lower cavity veins in the late pregnancy, the enlarged uterine compression of the lower cavity veins, which blocked the blood flow of the lower body, the vein pressure increased, and caused the lower limb swelling;Dilute, decreased the penetration pressure of plasma colloids, water movement to the tissue gap and edema; the endocrine function of the pregnancy changes, and the increased secretion of estrogen and aldehyde solid ketone will cause edema sodium water retention in the body.
The degree of edema is generally severe during the day, the temperature is high and the temperature is low, and the temperature is severe, and it is more serious after standing for a long time.
Physiological edema is generally mild, and usually pay attention:
Add more rest, avoid standing or seated for a long time, moderate exercise massage, and promote blood circulation of the lower limbs;
The clothes are loose and comfortable, avoid tight clothes and shoes;
Adjust your diet and eat less salt;
Sleeping the left side position, the lower limb pad can not only relieve edema, but also prevent the occurrence of varicose veins in the lower limbs.
Pregnant mothers should never dare to drink water because they are worried about edema.Drinking water during pregnancy is very necessary.
Pathological edema
The pathological edema is generally more serious. Some can swell to the thighs and vulva. The weight of pregnant women has increased rapidly. There is no significant relief of rest and raising the lower limbs. It may be accompanied by dizziness, headache, hypertension, and proteinuria.
The cause may be related to complications and complications during pregnancy, such as hypertension, excessive amniotic fluid, kidney disease, and cardiovascular system disease during pregnancy.
Due to edema and corresponding organs’ dysfunctional disorders due to pregnancy, if not treated in time, it may endanger mothers and children.
Therefore, once the above situation occurs, medical treatment should be performed as soon as possible to improve the corresponding examinations, including serum protein, urine protein, renal function, and blood pressure monitoring.
If edema is accompanied by increased blood pressure and urine protein, the early stage of eclampsia should be considered;
If it is accompanied by low protein ledis and damage to kidney function, consider kidney disease;
If you have symptoms of heart failure such as dyspnea, chest pain, and hepatochromic, you need to consider cardiac systemic diseases.
Although some pregnant mothers do not show depression edema, they have a significant increase in implicit edema of more than 2kg within 1-2 weeks. They should also pay attention to the monitoring of blood pressure and urine protein.In the end, it is necessary to decide whether to terminate the pregnancy based on the pregnancy of the pregnancy, blood pressure, the whole body of pregnant women and the condition of the fetus.
Source: obstetrician Wang Xin, Director Wang Xin
