How edema appears
Water in the body of a pregnant woman begins to linger gradually. It usually does not happen in the first trimester. Puffiness is more characteristic of late terms. The legs become loose, the skin loses its elasticity. Pressing on the skin of the lower leg leaves a hole, it does not fill up immediately - this is a symptom of swelling of the legs.
For the entire pregnancy, the woman is gaining in norm up to 12 kg of weight. Of these, 4-5 accounted for the increase in the volume of the fluid - the amniotic fluid and the one that is localized in the tissues. If a woman is prone to swelling, she has diseased kidneys, she consumes a lot of salt, drastically adds excess weight, then a lot of fluid lingers in the tissues.
Sodium in the composition of blood attracts water. And even if from time to time a woman spoils herself with salty, she develops physiological edema. They are characterized by 80% of healthy women. But the pathological puffiness is already the so-called dropsy of pregnant women. Doctors also call it the initial form of gestosis, which is accompanied by the appearance of protein in the urine, increased blood pressure, intrauterine fetal suffering.
Swelling of the legs: how to avoid
First of all, a woman should pay attention to her nutrition, in particular, the use of table salt and liquid. At a normal course of pregnancy per day, a pregnant woman should drink one and a half or two liters of liquid, taking into account the first dishes, fruits, juices, other beverages. In the absence of edema, when the consumption and allocation of water is balanced, you do not need to change anything.
If the swelling does not disappear overnight, a uneven weight gain is observed in a woman, it is strongly recommended to reduce the daily intake of liquid to one liter. You can not drink less, because water is the basis of metabolism.
However, an attempt to reduce swelling solely by reducing fluid intake is doomed to failure if the consumption of table salt is not reduced. Necessarily need to exclude from the diet salted nuts, cucumbers, herring, sauerkraut, black bread. Food should be nedosalivat. And do not be afraid that sodium will not enter the body at all. This substance is found in many foods, vegetables, so the body will not feel its deficiency.
Moderate edema, in particular edema of the legs, is eliminated solely through diet. But when there is no result of such correction within 3-5 days, means, it is necessary to resort to the help of diuretics. It is worth noting that doctors in recent years prescribe them infrequently, because sodium, excreted in the urine, can reduce the volume of circulating blood, which will lead to an increase in blood pressure. If we are talking about a severe form of dropsy and gestosis, obstetrician-gynecologists still prescribe such drugs, but under supervision. In this case, the woman is hospitalized and strictly controlled by the medical process.
It is worth noting that in addition to the usual swelling during pregnancy can be observed and heart. For example, in heart disease they are the consequence of heart failure. By the way, heart swelling manifests itself on the lower limbs: hands, face, abdomen while not swelling.
Doctors determine the cause of edema by liver size. With cardiac this organ first increases, then symptoms of puffiness are observed. When dropsy, liver size remains normal. And even with heart failure, puffiness is preceded by shortness of breath, palpitations, cyanosis of the mucous membranes, which are absent in gestosis.
If the legs of a pregnant woman swell due to kidney problems, then a specialized treatment of the underlying disease is necessary. He is appointed by a therapist or nephrologist. In this case, the therapy is carried out in a hospital.
So, with foot swelling, a woman should, first of all, turn to the treating gynecologist. Only he can accurately determine the cause of the pathology and give competent recommendations, prescribe treatment.