12 Simple And Effective Ways To Cure Postpartum Edema

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Postpartum edema (swelling) is a common condition characterized by swelling around the face, belly, and ankles. But what are the causes of edema? Some women may also experience swollen hands, legs, and feet (1). It may persist until a week or beyond after delivery. One may also notice swelling around the incision if they underwent a cesarean section (C–section) or episiotomy (2). The swelling may be accompanied by pain or tenderness and may cause discomfort and inconvenience. Read this post to learn more about the causes, symptoms, management, and prevention of postpartum edema.

Causes Of Edema

You produce more blood during pregnancy to nourish and protect both you and your baby. Also, a low concentration of proteins and dilution of blood might lead to low hemoglobin concentration and accumulation of fluids. During the delivery, not all the extra blood may leave the body. A combination of this extra blood, hormonal changes, and fluid retention may cause swelling post-pregnancy. It may sometimes lead to a condition called pitting edema (3).

If the swelling does not subside on its own, you may follow some remedies that will help in easing the swelling after pregnancy.

Be watchful
Swelling or edema in the face and hands during postpartum may indicate increased blood pressure for preeclampsia and it requires immediate medical care (12).

How To Reduce Swelling After Pregnancy?

Here is a comprehensive list of remedies that might help in alleviating or eliminating postpartum edema.

1. Healthy diet

When you eat properly, you are likely to flush out the extra fluids from the body and provide higher energy levels for your baby. Eat foods rich in protein, fresh fruits, and veggies, and complex carbohydrates. Also, eat foods rich in potassium as they might help alleviate the swelling. Stay away from processed foods as they contain sodium that may cause bloating.

2. Consume more fluids

Drinking excess fluids will signal the body to flush out the fluids that it has been holding in. It may greatly help to relieve swelling. Ensure that you drink a lot of water and empty your bladder often.

3. Keep your hands and feet elevated

Rest your hands and feet in an uplifted position for about 30 minutes every day. They should be raised above the level of your heart so that the blood flows into these areas properly. It might, therefore, reduce swelling in the extremities.

4. Moderate exercise

Moderate exercise to cure postpartum edema

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Perform moderate exercises and activities as they may help improve circulation and remove excess fluids from the body through sweat. Taking care of your newborn is also an exercise as it makes your heart pump efficiently. But do get your doctor’s approval before you begin anything.

5. Massage

Foot and leg massage is another way to ease the swelling post-pregnancy if you do not experience pain. It is good for circulation and cuts off excess fluid build-up.

  • Ask your partner to massage your legs and feet gently, starting from the bottom and working upwards.
  • But you should avoid aromatherapy essential oils.
  • Watch this video to understand ways of massaging during and post pregnancy.

6. Proper posture and rest

Avoid crossing the legs and standing for a long duration. While lying down, place the feet at an elevation above the hips. Put your feet up high, above the level of your heart. It could improve circulation and ease the swelling.

7. Soak your feet

Soak your feet in a mixture of aromatherapy oil and water. To improve the blood flow and prevent varicose veins, you may use cypress oil. Lavender or chamomile oil may also mitigate discomfort.

8. Herbal tea

Have herbal teas in moderation during and after pregnancy. Dandelion tea is a good choice as it might help in preventing fluid retention. Avoid them if you have gall bladder problems.

9. Cabbage leaves

Placing green or white cabbage leaves over the swollen area might relieve the swelling and discomfort. Some anecdotal studies show that this is effective in reducing the pain of breast engorgement (4) and hence the belief that this remedy might work on swollen legs and ankles too.

10. Acupuncture and foot reflexology

Foot reflexology may help ease swelling and discomfort

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Contemporary therapies like acupuncture and foot reflexology may help in easing swelling and discomfort. Acupuncture, a key component of traditional Chinese medicine, may help by re-balancing the internal energies as well as improving kidney function and circulation.

11. Stay cool

Stay at cool places as possible because the heat could worsen the swelling. As you are a new mom, stay indoors, and ensure you have good airflow in the room.

12. Some other tips

  • Do not wear tight-fitting clothes or any accessories as they might prevent the blood flow, causing swelling.
  • You may take a relaxing bath if your doctor has given you approval. It could also help relieve swelling.
  • Lie down towards your side as it improves blood circulation and may reduce swelling.
  • You may wear supportive socks.

What Causes Swelling After Pregnancy?

Most women experience swelling during pregnancy, which may increase postpartum and cause pain or general discomfort that might interfere with the responsibilities of motherhood. Even if you do not experience any swelling during pregnancy, you are likely to have swollen hands and feet after labor.

Some common causes of pregnancy include:

1. Hormones

The body produces a large amount of progesterone during pregnancy. The excess progesterone may cause water and sodium retention in the body, which could cause swelling after the birth of the baby (5).

2. Expanding uterus

When the uterus expands with the growing baby, the pressure is exerted over the veins towards the legs. It might, therefore, restrict the flow of blood to the lower body. Since there is a build-up of fluid throughout pregnancy (6), it could take a certain time for the fluids to subside post-pregnancy.

3. The delivery process

The natural pressure created during pregnancy causes swollenness. Along with it, pushing the body to give birth brings in more blood and fluids to the extremities. It might, therefore, lead to swelling in the fingers, hands, legs, feet, and the face.

Quick tip
Cold compression with an ice pack for 20 minutes once in two to three hours may help to reduce vaginal swelling in postpartum (13).

4. IV fluids

Women who undergo a C-section usually receive medications and anesthesia through IV, and those who give birth vaginally receive medications, such as oxytocin, and certain fluids. These extra fluids may accumulate in the body and take several days to get flushed out.

Symptoms Of Postpartum Edema

Swelling in the hands and legs could be mild, moderate, or extreme.

  • The skin on hands, legs, and other parts appear inflamed, stretched, shiny, and puffy.
Swelling in hands and legs show postpartum edema

Image: iStock

  • Skin sinks if you press it.
  • Swelling may also affect the abdomen apart from hands and legs.

Does Swelling Subside On Its Own?

The first thing to remember is that you need to relax, as swelling during pregnancy is mostly normal.

  • Swelling in familiar areas such as hands, legs, feet, face, and lower back should reduce in a week’s time.
  • During this time, your kidneys would be subjected to overwork to eliminate the excess fluids from your body, and you are likely to urinate more.
  • The extra fluids could also be expiated as sweat through your pores.

Dealing With Incision Swelling After Giving Birth

Sometimes, there might be a painful swelling at the incision areas. Swelling in legs and feet is common in the initial days after C-section, making it difficult for you to care for your little one. There may also be additional bruising and swelling at the perineum if you experience a vaginal tearing or episiotomy.

Ice compresses could be of help for edema in legs and relieve swelling at the C-section and perineum incisions. You should wipe both the areas as directed by your healthcare provider. You may also take a warm shower to get some relief. Do not apply any lotion or creams containing vitamin E until the area heals completely.

When to Worry About Swelling After Pregnancy?

Edema after pregnancy is not a sign of serious illness and usually subsides on its own. However, in some cases, the swelling does not curb in a week’s time.

In some cases, the edema may be associated with other symptoms such as pain, breathing trouble, palpitations, generalized swelling in the body, low urine output, etc. Consult your physician as a swollen body could sometimes indicate serious complications.

A few of the risk factors of edema that you should be aware of include:

1. Deep vein thrombosis (DVT)

DVT might cause death within hours. It’s an emergency requiring administering anticoagulants (anti-clotting) medications and immediate hospitalization. If you notice the following symptoms, consult your doctor (7).

  • Swollen ankles or legs
  • Pain or tenderness in one or both the legs
  • Red skin in the affected leg
  • Visible veins
  • Leg fatigue

2. Postpartum cardiomyopathy (PPCM)

A rare, life-threatening heart disease, PPCM comes suddenly and could be fatal. It may even happen in women who were previously healthy. One of the major symptoms of PPCM is postpartum edema. Other symptoms include (8):

3. Postpartum preeclampsia

Preeclampsia (elevated blood pressure associated with a leak of proteins in the urine) is not rare during pregnancy. It may be complicated by eclampsia, which is the occurrence of generalized seizures. But it could happen after childbirth too. Postpartum eclampsia might strike as soon as you give birth or four to six days post-delivery. Symptoms of postpartum eclampsia include (9):

  • Swelling in the extremities
  • High blood pressure
  • Excess protein in the urine
  • Severe headaches
  • Changes in vision
  • Upper abdominal pain
  • Nausea
  • Decreased urination
  • Seizures onset

Do not take any vitamin supplements until your doctors prescribe because they may increase your chances of getting preeclampsia after delivery. If you have the above symptoms, do check your blood pressure too.

How To Prevent Postpartum Edema?

Though it is not possible to prevent postpartum edema, you may reduce its severity. It means your feet and legs may become less tender and painful. One possible way to reduce swelling is to have a healthy balanced diet during pregnancy so that you do not gain excess weight.

  • Include lean protein in every meal. Some of the good sources include meat, poultry, legumes, beans, and eggs.
Eat lean protein in every meal to fulfil protein needs

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  • Consume about five portions of healthy food that includes fruits and veggies.
  • Reduce the intake of sugar, salt, and fat foods and take in more water. It might help the kidneys to flush out excess liquids from the body.
  • You might include natural diuretics as they help you to flush out excess fluids, thereby helping you to reduce the swelling. Natural diuretics include apples, citrus fruits, watercress, celery, and parsley.
  • Include onion and garlic in your diet as they may help improve circulation.
  • Avoid processed and pre-packaged foods as they might increase fluid content in the system because of their excess salt and additives.
Processed foods can cause edmea

Image: iStock

  • Eat foods that contain vitamin C and E. For vitamin C, take cabbage, broccoli, tomatoes, strawberries, melons, potatoes, bell peppers (red and green), and citrus fruits. For vitamin E, take almonds, cashews, corn oil margarine, wheat germ, sweet corn, vegetable oils (corn, wheat germ, and soy), and sunflower seeds.
  • Quit smoking as it is not safe for your little one’s health and could prevent your postpartum swelling from healing (10).

Postpartum edema should not be a cause of great worry or confusion. Getting back to your former figure after childbirth could be a mammoth task, but as Sylvia Brown, co-author of The Post-Pregnancy Handbook, says, “A well-informed woman can use this time to heal her body properly and give it the rest and care that it needs.”

Expert Tips From A Gynecologist

  1. In the majority of the cases, this is not a matter of concern and subsides on its own within a week. Just have correct posture, exercise, protein-rich diet, and plenty of water.
  1. Observe the extent of edema. If it does not subside within a week or increases in severity or is associated with other problems, do not hesitate to talk to your doctor. They will check your blood pressure, find out if you have anemia or any other serious issue such as diseases of heart, kidney, liver, etc.
  1. Do not take any drug without consulting the doctor as they can cause further problems and may harm your baby if it is breastfed. Contact the doctor immediately if you feel pain in the legs or chest, have discomfort in breathing or palpitations.

Dr Sujoy Dasgupta

MBBS (Gold Medalist, Hons)
MS (OBGY- Gold Medalist)
DNB (New Delhi)
Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Consultant Obstetrician and Gynecologist,
Specialist in Infertility and Sexual Dysfunction

Frequently Asked Questions

1. Will my feet get back their pre-pregnancy size?

You may sometimes feel that your feet are large even after the swelling subsides. It may be because of the loosening of the ligaments, which may make your feet spread. This resolves on its own. Do not worry unnecessarily because this is a typical condition that may remain for a month after pregnancy.

2. Why is only one foot swollen postpartum?

If you notice swelling on only one of the feet or ankles, it is advised that you consult with the doctor immediately as this might be a sign of a blood clot (11).

Postpartum edema or swelling is a common condition and seldom a concerning issue. While some women accept it and let it subside on its own, others may want to learn how to cure postpartum edema. Either way, it is okay, and the key is to stay calm and healthy. You may try some preventive measures such as eating healthy to include the necessary nutrients and avoiding unsafe food options after consulting your ob/gyn. However, do not ignore it if the condition persists for longer, as it may indicate an underlying issue requiring medical intervention.


MomJunction's articles are written after analyzing the research works of expert authors and institutions. Our references consist of resources established by authorities in their respective fields. You can learn more about the authenticity of the information we present in our editorial policy.
1. Postpartum Care; U.S. National Library of Medicine; National Institutes of Health (2018)
2. Postpartum Pain Management; Newton-Wellesley Hospital
3. Concerns about swollen legs; Harvard Health Publishing (2018)
4. Boi B et al.; The effectiveness of cabbage leaf application (treatment) on pain and hardness in breast engorgement and its effect on the duration of breastfeeding; JBI Libr Syst Rev (2012)
5. Recovering from Delivery (Postpartum Recovery); American Academy of Family Physicians; familydoctor.org (2017)
6. Swollen ankles, feet and fingers in pregnancy; NHS (2018)
7. 3.4 Deep vein thrombosis (DVT); The Open University
8. Denise Hilfiker-Kleiner, et al.; Postpartum Cardiomyopathy; Dtsch Arztebl Int. (2008)
9. High Blood Pressure in Pregnancy; U.S. Department of Health and Human Services National Institutes of Health (2018)
10. Nutrition For New Mothers; Beaumont Health
11. Problems in the week after the birth; New Zealand Ministry of Health
13. Immediately after birth; The Royal Women’s Hospital
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Rebecca Malachi

Rebecca is a pregnancy writer and editor with a passion for delivering research-based and engaging content in areas of fertility, pregnancy, birth, and post-pregnancy. She did her graduation in Biotechnology and Genetics from Loyola Academy, Osmania University and obtained a certification in ‘Nutrition and Lifestyle in Pregnancy’ from Ludwig Maximilian University of Munich (LMU). She has been into health and...
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Dr. Ben Abbes Taarji Hicham

Dr. Ben Abbes Taarji Hicham is a practicing obstetrician and gynecologist with over 20 years of experience. Having worked in various Moroccan hospitals, he currently runs a private practice. Dr. Hicham specializes in rejuvenation and cosmetic gynecology, medically assisted reproduction, breast and gynecological cancers, HPV diseases, hysteroscopy and laparoscopy, and hormonal disorders.