Postpartum: Your Body

Postpartum: Your Body

Swelling after birth

Swollen feet and legs after birth are pregnancy and IV fluids working their way out. It peaks around day four and clears in two weeks.

General research · seeking a stewardpostpartumAlso searched as: swollen feet after birth, IV fluids swelling, legs swollen postpartum

What it is

Your feet are more swollen now than they were pregnant. Pregnancy adds a lot of fluid to the body. Labor often adds more through an IV. After birth, that fluid shifts out of the blood vessels and pools where gravity takes it: feet, ankles, legs, hands, and sometimes the face.

What's typical

Swelling often gets worse for the first few days and peaks around day three to five. Then it drains. Most mothers are back to normal within one to two weeks. Swelling in both legs that is soft and painless is the usual picture.

What's known

ACOG and the NHS describe this as expected and self-limiting. The warning signs sit next to it: one swollen painful leg can be a blood clot, and sudden swelling of the face and hands with a headache can be postpartum preeclampsia.

What helps

  • Feet up above the heart when you sit or lie down. A pillow under the calves in bed.
  • Drink water. Cutting fluids does not drain swelling faster.
  • Short walks. Calf muscles pump fluid back up.

When to call someone

  • Now (911 or go in): swelling in one leg only, with pain or warmth; shortness of breath or chest pain; or swelling of the face and hands with a severe headache or vision changes.
  • Todayswelling getting worse after day five, or swelling with a fever.
  • At your next visitswelling that has not cleared by two weeks.

Who helps

Tools: Postpartum Prep Checklist

Related

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Sources

  • American College of Obstetricians and Gynecologists — Patient FAQ on your body after birth
  • NHS — Your body after the birth
  • March of Dimes — Your body after baby: the first six weeks

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