It is quite normal for women to retain extra fluid when they are pregnant. The fluid is needed to help soften up the body so that it gives as the baby grows, and also to prepare the pelvic joints and tissues for opening up to allow the baby to be born. On average, about a quarter of the weight women gain during pregnancy is made up by fluid retention.

Some of this extra fluid tends to collect in the feet and ankles and hands, causing swelling (oedema) and puffiness, especially in the later stages of pregnancy. It is often worse at the end of the day or if you have been standing for a long time, or in hot weather. Slight swelling isn’t a problem, although it can be uncomfortable, and also inconvenient if you find that your shoes no longer fit and your rings are too tight. However, if you notice any sudden swelling in your hands and your face, let your midwife or doctor know. It could be a sign of pre-eclampsia.

Swelling in your wrists can sometimes cause pins and needles in your fingers and hands.

You may start to notice swelling from around 5 months. It tends to be more of a problem for women who are overweight, or who gain a lot of weight while they are pregnant, or who are pregnant with more than one baby.

• Avoid standing for long periods, especially if it is hot
• Rest with your feet up as much as you can
• Wear low-heeled shoes
• Wear support tights or stockings
• Don’t wear clothes that are tight round your ankles or wrists
• Apply dark green cabbage leaves (cool them in the fridge first) to your ankles and feet. (Yes, really! This can also help if your breasts become engorged after your baby is born)
• Get someone to massage your legs firmly upwards from your ankles to your knees, using both hands
• If your fingers are swelling, take your rings off before they get stuck