Written by Medicover Team and Medically Reviewed by Dr Manjusha Padamata
Causes of Leg and Foot Swelling After Delivery
Swelling in the legs and feet after childbirth is often referred to as postpartum swelling or edema and is a common and usually temporary condition many new mothers experience. It may feel uncomfortable, but it is a natural part of the body's recovery process after pregnancy and delivery.
In this article, we'll explore the most common causes of leg and foot swelling after delivery, when it's considered normal, and when it may signal a need for medical attention.
What is Leg Swelling After Delivery?
Leg swelling after delivery, also known as postpartum edema, is a common condition many women experience in the days or weeks following childbirth. It occurs when excess fluid accumulated during pregnancy starts to shift and get reabsorbed by the body. This can lead to visible puffiness in the feet, ankles, calves, or even hands and face.
In most cases, postpartum leg swelling is harmless and resolves on its own within a week or two. However, sudden, severe or one-sided swelling, especially when accompanied by pain, redness or difficulty breathing, could be a sign of a more serious condition like deep vein thrombosis and requires immediate medical treatment.
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Get Second OpinionHow Long Does Postpartum Leg Swelling Last?
Postpartum leg swelling may last for 5 to 10 days after delivery. During this period, your body gradually eliminates the excess fluids retained during pregnancy through urination, sweating and improved circulation. For most women, the swelling in the legs, feet and ankles gradually reduces within one to two weeks.
However, the exact duration can vary depending on factors such as:
- Amount of fluid retained during pregnancy.
- Type of delivery (vaginal or cesarean).
- Activity level post-delivery.
- Overall health and circulation.
What are the Causes of leg and Foot Swelling after Childbirth?
1. Hormonal Changes
- Pregnancy hormones (like progesterone) relax blood vessel walls, leading to more fluid retention.
- After birth, hormone levels slowly return to normal, so that you may notice continued leg swelling after delivery for several days.
2. Increased Blood Volume
- Pregnancy raises your blood volume by up to 50%
- Your body needs time to process and eliminate extra fluid, which can show up as feet swelling after C section or vaginal birth.
3. IV Fluids During Labour
- Many women receive significant IV fluids, especially with a C-section
- Those extra fluids contribute to leg swelling after C-section and foot swelling after delivery
4. Fluid Retention (“Water Retention Pregnancy”)
- Your body holds onto water to support your placenta and amniotic fluid.
- Once the baby is delivered, the “stored” fluid exits slowly through urine and sweat, causing postpartum pedal edema.
5. Physical Strain and Reduced Activity
- Carrying extra weight for nine months stresses your legs and ankles.
- After delivery, you may rest more, which can slow circulation and worsen postpartum foot swelling.
6. Prolonged Labor or Trauma
- Long labor or difficult delivery can trigger inflammation.
- You might notice more pronounced leg swelling after delivery or stitches swelling after delivery if you had an episiotomy or tear.
7. Risk of Blood Clots (DVT)
- Rarely, sudden or severe swelling in one leg, often with pain, redness, or warmth, can signal a deep vein thrombosis.
- Always seek medical attention immediately if you suspect a clot.
How to Identify When Swelling is Normal or Concerning?
Normal postpartum swelling:
- Mild to moderate, affects both legs symmetrically
- Improves gradually over 1–3 weeks
Warning signs:
- Severe or sudden swelling in one leg
- Redness, warmth or intense pain
- Shortness of breath or chest pain (possible clot has travelled to the lungs)
If you're ever unsure, consult your doctor.
How to Prevent Leg and Foot Swelling After Giving Birth?
Here are some effective home remedies to prevent leg or foot swelling in women after delivery:
1. Stay Hydrated
Drinking enough water may seem counterintuitive, but it helps your body flush out excess fluids. Proper hydration helps your kidneys function efficiently, reduces water retention and aids in balancing sodium levels.
Tip: Aim for 8–10 glasses of water per day, and more if you're breastfeeding.
2. Limit Salt Intake
Excess sodium can cause your body to retain more water, leading to increased swelling. During postpartum recovery, it's essential to be mindful of your salt consumption, especially from processed foods.
Tip: Cook fresh meals at home, avoid canned soups, salty snacks and ready-to-eat meals.
3. Move Regularly
Inactivity can make swelling worse. Gentle postpartum movement helps stimulate blood circulation and prevent fluid buildup in the lower body.
Tip: Try short walks around the house, light stretching or approved postpartum exercises. Avoid standing or sitting in one position for too long.
4. Elevate Your Legs
Gravity naturally causes fluid to accumulate in your feet and ankles. Elevating your legs helps redirect that fluid and reduce swelling.
Tip: Prop your legs on a pillow while resting or lying down, ideally above heart level, for 15–20 minutes a few times per day.
5. Wear Compression Stockings
Compression socks or stockings gently squeeze your legs, improving blood flow and reducing swelling. They are invaluable if you're recovering from a C-section or standing frequently.
Tip: Wear them during the day, especially if you're on your feet for long periods, and remove them at night unless advised by a doctor.
6. Eat a Balanced, Nutrient-Rich Diet
A diet rich in potassium, magnesium, and antioxidants can support fluid balance and reduce inflammation. These nutrients help your body manage sodium levels and promote healthy circulation.
Best Foods:
- Bananas, spinach, avocado (potassium)
- Nuts, seeds, whole grains (magnesium)
- Berries, leafy greens, citrus (antioxidants)
7. Avoid Caffeine and Sugary Drinks
While a cup of coffee is fine, too much caffeine can dehydrate you and worsen fluid retention. Sugary drinks can also contribute to inflammation and swelling.
Tip: Choose water, herbal teas (like dandelion or chamomile), or infused water with lemon and cucumber.
8. Get Enough Rest
Lack of sleep can stress your body and increase inflammation, potentially leading to further swelling. Rest is also crucial for your body's natural healing process after childbirth.
Tip: Sleep when your baby sleeps and don't hesitate to ask for help from family or friends.
9. Practice Gentle Massage
Light massage helps stimulate lymphatic drainage and improve circulation in swollen areas. It can also ease discomfort and promote relaxation.
Tip: Use circular, upward motions starting from your feet and moving toward your heart.
10. Monitor for Warning Signs
While prevention is essential, it's equally crucial to stay aware of abnormal swelling. If it seems one-sided, painful, or is accompanied by other symptoms (like chest pain or shortness of breath), seek medical help.
When to Seek Medical Help?
While leg swelling after pregnancy is usually harmless, contact your doctor if you experience any of the following:
- Swelling persists beyond 3–4 weeks
- One-sided swelling with redness or warmth
- Severe pain in your leg or calf
- Chest pain or breathing difficulties
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Schedule Your AppointmentConclusion
Leg swelling after pregnancy is a common issue that many new mothers face. Understanding the causes and knowing how to manage the symptoms can help you feel more comfortable as you recover. If you're ever in doubt or concerned about your symptoms, don't hesitate to reach out to your healthcare provider for guidance.
By staying hydrated, elevating your legs, wearing compression stockings, and incorporating gentle activities into your routine, you can effectively manage postpartum leg swelling and focus on enjoying your time with your new baby.
Frequently Asked Questions
Yes, some swelling is normal due to fluid retention and changes in body weight.
If swelling is sudden, severe, or accompanied by pain, it may indicate a serious condition.
Elevating legs, staying hydrated, and wearing compression stockings can help reduce swelling.
Yes, a low-sodium diet can help minimize fluid retention and swelling.
You can reduce fluid retention by staying hydrated, cutting back on salty foods, exercising regularly, and elevating your legs. Natural diuretics like cucumber, watermelon, and parsley may also help your body release excess water.
Foods rich in potassium, magnesium, and antioxidants can help reduce swelling. Examples include bananas, sweet potatoes, avocados, spinach, cucumbers, berries, and citrus fruits. Herbal teas like dandelion or green tea may also support fluid balance.
Limit your intake of high-sodium foods such as processed meats, canned soups, salty snacks, and fast food. Avoid refined carbs and sugar, which can contribute to inflammation and water retention.

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