Pregnancy is a beautiful journey, but it also comes with its fair share of physical changes. One common concern many expectant mothers face is swelling, particularly in the hands and legs. This swelling, known as Oedema, is a normal response to increased fluid retention and pressure on blood vessels.
While mild swelling is expected, excessive or persistent swelling can cause discomfort and impact daily activities. Fortunately, Manual Lymphatic Drainage (MLD) is a gentle and effective physiotherapy technique that can help manage this swelling safely during pregnancy.
Why Does Swelling Occur During Pregnancy?
Swelling in pregnancy is primarily caused by:
Increased blood volume: The body produces up to 50% more blood and fluids to support the growing baby.
Hormonal changes: Progesterone relaxes blood vessel walls, making fluid accumulation more likely.
Pressure from the uterus: As the uterus expands, it can compress major veins (such as the Inferior Vena Cava), slowing circulation in the lower body.
Reduced mobility: Prolonged sitting or standing may cause fluid to pool in the legs and feet. Swelling is usually more noticeable in the third trimester and tends to be worse towards the end of the day or after prolonged activity.
How Does Manual Lymphatic Drainage (MLD) Work?
MLD is a specialised hands-on technique that encourages the movement of lymphatic fluid, reducing swelling and promoting circulation. Unlike traditional massages, MLD uses light, rhythmic strokes to stimulate the lymphatic system, directing excess fluid towards areas where it can be naturally drained and eliminated.
The Benefits of MLD for Pregnancy-Related Swelling
Reduces Fluid Retention – MLD helps remove excess fluids from swollen tissues reducing discomfort in the hands, legs, and feet.
Improves Circulation – Gentle strokes boost lymphatic and blood flow, reducing stagnation and preventing further fluid buildup.
Relieves Discomfort & Pain – By decreasing pressure from swelling, MLD can relieve aching, tingling, or tightness in affected areas.
Encourages Relaxation – MLD is calming and can reduce pregnancy-related stress, promoting overall well-being.
Tips to Manage Swelling Alongside MLD
While MLD is highly effective, combining it with simple lifestyle changes can further help manage swelling:
Stay Active – Regular movement, such as walking or prenatal yoga, prevents fluid from pooling.
Elevate Your Legs – Raising your feet above heart level can encourage drainage.
Stay Hydrated – Drinking plenty of water helps flush excess sodium and fluids.
Wear Compression Stockings – These can help prevent excessive fluid accumulation.
Avoid Prolonged Sitting or Standing – Shift positions regularly to promote circulation.
When to Seek Medical Advice?
Mild swelling is normal, but if you experience sudden, severe swelling, especially with headaches, vision changes, or high blood pressure, consult your healthcare provider as these could be signs of preeclampsia, a serious condition requiring medical attention.
Conclusion
Pregnancy-related swelling can be uncomfortable, but MLD offers a safe, effective, and relaxing way to manage it. With regular MLD sessions (1-2 x weekly) and mindful self-care, expectant mothers can reduce discomfort and support their overall health during this special time.
I am both qualified and experienced in treating Lymphoedema with MDL. Many women pregnant and post natal - find MDL a very relaxing and effective means of eliminating swelling in their hands, feet and am pit areas.
I look forward to meeting and treating YOU.
Senior Physiotherapist in Women’s and Men’s Health - PhysioMatters
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