Okay, but… were these always my feet? 😳
Let me guess—you looked down this morning and thought,
“Umm… these don’t look like my ankles.”
Or maybe you tried to slip on your favorite sneakers and now they fit like they belong to someone two sizes bigger. And your rings? Forget it. Swollen Feet and Hands have officially entered the chat. 😅
Welcome to Week 21, where your body’s doing amazing things—but also holding on to water like it’s prepping for a desert marathon. Swelling during pregnancy is super common, especially around this time, and while it’s totally normal, it can still catch you off guard. Let’s talk about what’s going on, how to get some relief, and how to take care of those hardworking hands and feet.
It’s called edema (the fancy term for swelling), and while it’s super common in pregnancy, it can still catch you off guard.
Let’s break down: ✅ Why your hands and feet are swelling
✅ What’s normal (and when to call your doc)
✅ How to relieve the puffiness
✅ And tips to stay comfortable—because girl, those feet need love!

1️⃣ What’s Causing All This Swelling Anyway?
Let’s start with what’s actually happening.
During pregnancy, your body produces about 50% more blood and fluids to support your growing baby. That extra fluid helps with:
✔️ Softening your body for labor
✔️ Supporting the placenta
✔️ Carrying nutrients to baby
✔️ Protecting your joints and tissues
But all that extra fluid? It doesn’t just chill in one place. It tends to collect in your extremities—hello, swollen feet, ankles, and hands.
Especially by Week 21, your growing uterus is putting pressure on your veins, which slows blood flow from your lower body back to your heart. The result? Fluid pools, especially after long days on your feet.
2️⃣ When Does Swelling Usually Start?
For many moms, swelling starts around the mid-second trimester (20–24 weeks) and gets more noticeable as pregnancy progresses—especially in:
- The evening
- After long periods of standing or sitting
- In hot or humid weather
- After salty meals
You might notice:
- Puffy ankles or feet at the end of the day
- Indents from your socks or shoes
- Rings feeling tighter
- Hands that feel stiff or tingly in the morning
📌 Fun (or not-so-fun) fact: Swelling tends to be worse in the summer—even more reason to live in flip-flops.
3️⃣ What’s Normal Swelling vs. What’s Not
Okay, yes—swelling is common.
But there are times when it’s a red flag. Here’s how to tell the difference:
✅ Normal Swelling
- Gradual puffiness that increases during the day
- Relieved somewhat by rest and elevation
- Usually affects both feet or both hands equally
- Doesn’t come with pain, fever, or sudden changes
🚩 Call Your Doctor If You Notice:
- Sudden or severe swelling, especially in your face or hands
- One leg swelling more than the other, with pain or redness
- Swelling with high blood pressure, headaches, or vision changes (this could be a sign of preeclampsia)
📌 Always trust your gut—if something feels off, give your provider a call. Better safe than sorry!
4️⃣ How to Ease Swelling Naturally (Without Giving Up Comfort)
Let’s talk relief, mama. You don’t have to suffer in silence (or in too-tight shoes). Here’s what can actually help:
🪑 1. Put Your Feet Up (Literally!)
Whenever you can, elevate your legs above heart level. Rest your feet on a stool or stack of pillows to help fluids flow back up.
📌 Tip: A few 15-minute breaks throughout the day can make a big difference.
🚶♀️ 2. Move, Even Just a Little
It sounds counterintuitive, but sitting or standing too long can make swelling worse. Light movement helps get that fluid moving.
Try:
- Short walks
- Foot circles while sitting
- Gentle prenatal yoga
- Ankle pumps (point and flex your feet)
💧 3. Drink More Water (Yes, Really!)
It sounds weird, but drinking more water actually helps flush excess sodium and reduce water retention.
Aim for at least 8–10 cups a day—and more if it’s hot out.
🧦 4. Compression Socks Are a Game-Changer
Not the cutest accessory, but they work! Compression socks or stockings help prevent fluid buildup in your legs.
📌 Look for maternity-specific ones that are comfy and breathable.
🧂 5. Watch Your Salt (But Don’t Eliminate It)
Too much sodium can make swelling worse—but you still need some salt to stay balanced. Stick to whole foods and skip overly processed snacks when possible.
🧊 6. Cool Down
Swollen hands and feet? Try a cool foot soak, cold compress, or even holding a frozen washcloth in your hands.
In summer, keep a fan or mist bottle nearby. Your body will thank you.
🧘♀️ 7. Sleep on Your Left Side
This position helps improve circulation and reduce pressure on the vena cava (the big vein returning blood to your heart).
Bonus: It’s good for baby too!
5️⃣ Swelling Survival Tips from Real Mamas
“I started keeping my feet up on a stool under my desk while working—total game-changer.” – Lauren
“Compression socks were my best friend. Not cute, but I didn’t care. My ankles stopped looking like marshmallows.” – Sam
“I filled a bucket with cool water and Epsom salt every evening. It was my little spa moment.” – Dani
6️⃣ What About Hands and Fingers?
Swelling isn’t just a lower-body thing. Your hands and fingers can feel puffy too.
Tips:
- Take off rings when you’re home (better safe than stuck!)
- Do gentle hand stretches
- Avoid sleeping with hands under your head or body
- Wear loose, breathable sleeves
📌 Pro tip: If your hands feel tingly or numb, especially at night, it might be carpal tunnel syndrome, which is common in pregnancy. Ask your doc if a wrist brace might help!
7️⃣ How to Dress for Swelling: Comfort Meets Cute
Let’s be honest—nothing makes you crankier than tight, uncomfortable clothes when you’re already dealing with swelling.
👣 For Feet:
- Go up a size in shoes if you need to
- Look for wide-fit sandals, breathable sneakers, or adjustable straps
- Ditch heels (you’ll thank yourself)
🤲 For Hands:
- Skip tight bracelets or cuffs
- Keep rings off on hotter days
- Opt for soft fabrics that don’t cling to your arms
8️⃣ Final Thoughts: You’re Still Glowing—Even If You’re Puffy
Swollen feet and hands? Totally normal.
Annoying? Yes.
Uncomfortable? Definitely.
But temporary? Absolutely.
This is just one more way your incredible body is adapting to grow life. So rest when you can. Keep that water flowing. And if you need to size up your shoes or swap rings for stretchy bands—do it with pride.
Because mama, swollen or not—you’re doing beautifully. 💛