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Swelling; When Is It Too Much? The Mrs<3 4 kids; Milton, West Virginia 8409 posts
2nd May '13

Where should I check for indentation? I have checked the side of my ankle and the top of my feet. How long should the indentation stay befoer it is a concern?

Ivana, VBA2C success! 3 kids; Aurora, Colorado 6834 posts
2nd May '13

I think once your face and lips start swelling it is a concern. Swelling on ankles and legs is actually common in late pregnancy. But if your hands and then face start swelling, then it becomes a concern.

m o m ♥ 2 kids; Ontario 7945 posts
2nd May '13

It's concerning when it suddenly swells up more than usual. Or a place it wasn't swollen before like your face or hands.



I'm not sure about the indentation test but mine was pretty severe and my doctor didn't seem concerned.



I did end up developing pre e at 38 weeks though. Although my swelling started early on in my 7th month.



keep your feet up, drink water, relax etc. these are little things that can help. Make sure you bring it up to your doctor at your next visit. And if it's come on all of a sudden maybe make an apt. sooner

The Mrs<3 4 kids; Milton, West Virginia 8409 posts
2nd May '13

My flip flops are too tight now and leaving indentions, there's indenting on my ankles,legs, feet when we press. I am laying up in bed to see if that helps. No swollen lips or face, and fingers are swollen. Grr, I just don't want to over-worry but I don't want anything to go unnoticed either.

Ivana, VBA2C success! 3 kids; Aurora, Colorado 6834 posts
2nd May '13
Quoting Mama Casey[EBF]:" My flip flops are too tight now and leaving indentions, there's indenting on my ankles,legs, feet when ... [snip!] ... lips or face, and fingers are swollen. Grr, I just don't want to over-worry but I don't want anything to go unnoticed either."

how is the weather where you are?
I am only 23 weeks but this past weekend was about 80 degrees and I could feel my feet and fingers swelling up! With my first I was pregnant until June and yeah my ankles and feet and fingers swelled up quite a bit, no pre-e though.

The Mrs<3 4 kids; Milton, West Virginia 8409 posts
2nd May '13
Quoting Ivana, expecting #3!:" how is the weather where you are? I am only 23 weeks but this past weekend was about 80 degrees and I ... [snip!] ... up! With my first I was pregnant until June and yeah my ankles and feet and fingers swelled up quite a bit, no pre-e though."


It was up to about 78 today. That's why I wish the doctor would just give me better guidelines of when to worry:/ I do not want to go if it's not necessary. I'm wore out and there's no sleep at hospitals:)

Ivana, VBA2C success! 3 kids; Aurora, Colorado 6834 posts
2nd May '13
Quoting Mama Casey[EBF]:" It was up to about 78 today. That's why I wish the doctor would just give me better guidelines of when ... [snip!] ... guidelines of when to worry:/ I do not want to go if it's not necessary. I'm wore out and there's no sleep at hospitals:)"

well has your BP been normal at your check ups? If so, I would just chalk it up to heat and water retention.

m o m ♥ 2 kids; Ontario 7945 posts
2nd May '13

<blockquote><b>Quoting Mama Casey[EBF]:</b>" My flip flops are too tight now and leaving indentions, there's indenting on my ankles,legs, feet when ... [snip!] ... lips or face, and fingers are swollen. Grr, I just don't want to over-worry but I don't want anything to go unnoticed either."</blockquote>




I remember I used to lay with my leg over my ankle and it would seriously look like it was indented about half an inch or so. I did not have it this pregnancy but I really think the heat had a lot to do with it. I had to buy large sandals because of the swelling.



It's finally warming up now and I noticed a tiny bit of swelling in my ankles today so I soaked them in cold water. Felt nice!



Honestly try not to worry too much. Swelling is very common during pregnancy. If you start to swell all over, have a bad headache that won't go away, spotty vision, or just don't feel good in general go to the E.R.



or if you get pain where the swelling is or cramps in your leg.



When was your last appointment? I'm sure your doctor is checking your blood pressure and protein in your urine at every visit.



if you're super worried you could always check your BP at a pharmacy.

K.J♥ Due November 4; 2 kids; Russellville, Kentucky 430 posts
2nd May '13

if your face and hands start to swell, that's def a concern. that's what gave them a reason to check my protein in my urine and everything showing that I had sever pre e.

Tara Pope Due May 28 (girl); 1 child; Texas 21 posts
2nd May '13

here is an edema scale--1+ Mild pitting, slight indentation, no perceptable swelling of the leg
2+ Moderate pitting, indentation subsides rapidly
3+ Deep pitting, indentation remains for a short time, leg looks swollen
4+ Very deep pitting, indentation lasts a long time, leg is very swollen.



this is a general scale that nurses use to assess edema. obviously, ededma is to be expected in pregnancy to some degree, but 3+ and 4+ would be of concern generally. if your BP is higher than normal or the swelling comes on suddenly or it is not relieved by puting your feet and legs up, you should be concerned. of course, call your doctor for any questions about your specific health.

Jenna1234 1 child; Iowa 509 posts
3rd May '13

<blockquote><b>Quoting m o m ♥:</b>" <blockquote><b>Quoting Mama Casey[EBF]:</b>" My flip flops are too tight now and leaving ... [snip!] ... pressure and protein in your urine at every visit. if you're super worried you could always check your BP at a pharmacy."</blockquote>




I didn't think doctors needed to check the protein in your urine at every visit since mine has only done one urinalysis on me when I first started seeing him.

m o m ♥ 2 kids; Ontario 7945 posts
3rd May '13

They should absolutely be checking it at every appointment. I would be requesting one done.



I go weekly and they still check it every time



Good luck

Jenna1234 1 child; Iowa 509 posts
3rd May '13
Quoting m o m ♥:" They should absolutely be checking it at every appointment. I would be requesting one done. I go weekly and they still check it every time Good luck"


I have a feeling I'd get a stupid look from my OB if I asked for one, but I guess I should anyway. He seems like the type that thinks "if there's no indication, then why bother." I thought it was kind of weird that he hasn't done a urinalysis on me since I first started going. It was just my first visit with him that they last did that and they last took my blood when I did the GD test but figured the blood tests weren't needed as much.

The Mrs<3 4 kids; Milton, West Virginia 8409 posts
3rd May '13
Quoting Jenna1234:" I have a feeling I'd get a stupid look from my OB if I asked for one, but I guess I should anyway. He ... [snip!] ... that they last did that and they last took my blood when I did the GD test but figured the blood tests weren't needed as much."


If he's not willing to test at each visit..I'd change. Pre E can develop suddenly and this is my 4th baby and had never had any idications of an issue before now! Make him check:)

m o m ♥ 2 kids; Ontario 7945 posts
3rd May '13

I think it's more typical for them to do it every visit.
So don't feel weird! Switch OBs if you're not satisfied!