Welcoming a newborn is an exciting and transformative experience, but many mothers are surprised by lingering postpartum swelling. This swelling, or postpartum oedema, commonly affects the legs, hands, and face due to fluid retention from pregnancy and labor.
While it is temporary, it can be uncomfortable. Fortunately, physiotherapy techniques, including Manual Lymphatic Drainage (MLD), movement, and proper hydration, can help ease swelling and support recovery.
Why Does Postpartum Swelling Occur?
Swelling after childbirth happens for several reasons:
Hormonal Shifts – Pregnancy hormones like progesterone cause the body to retain fluids, and it takes time for levels to normalise.
Intravenous Fluids (IV) During Labor – Many mothers receive intravenous fluids, especially during a cesarean or epidural-assisted birth, leading to fluid accumulation.
Circulatory System Changes – During pregnancy, the body produces extra blood and fluids, which take time to be reabsorbed.
Prolonged Labor & Pushing – Intense labor can lead to increased swelling in the hands, feet, and even the face.
Swelling usually peaks within the first week postpartum and gradually resolves with proper care.
How Does Physiotherapy Helps Reduce Postpartum Swelling?
Manual Lymphatic Drainage (MLD) – MLD is a gentle hands-on therapy that stimulates the lymphatic system to move excess fluid out of swollen areas. A trained physiotherapist can perform MLD to help reduce swelling in the legs, feet, and hands.
Movement & Exercise – Gentle postpartum exercises, such as walking or ankle pumps, promote circulation and prevent fluid from pooling in the lower limbs.
Elevation & Positioning – Raising swollen legs above heart level for short periods can help fluid drain more effectively.
Compression Therapy – Wearing compression socks or garments can provide support to the circulatory system, reducing excessive fluid buildup.
Hydration & Nutrition – Drinking plenty of water helps flush excess fluids, while foods rich in potassium (like bananas and leafy greens) can help regulate fluid balance.
When to Seek Medical Advice?
Mild postpartum swelling is normal, but sudden, severe, or uneven swelling in one leg, shortness of breath, or chest pain could indicate a more serious issue like Deep Vein Thrombosis (DVT) or Preeclampsia. If you experience any concerning symptoms, seek medical care immediately.
Conclusion
Postpartum swelling is a natural part of recovery, but it doesn’t have to be uncomfortable. With MLD, movement, compression, and hydration, new mothers can ease swelling and feel more comfortable during their postpartum journey. If you’re struggling with persistent swelling, please consider a consultation with me – Claire at PhysioMatters.
Claire
Senior Physiotherapist in Women’s and Men’s Health - PhysioMatters
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