The Hidden Challenge of Pregnancy: Coping with Water Retention and Tips for Relief

In the delicate dance of pregnancy, many expectant mothers find themselves grappling with the unexpected: water retention. This silent intruder transforms the body, leaving skin with the texture of an orange and altering one's self-image profoundly. While we anticipate nausea, fatigue, and swollen feet, we are often unprepared for this lesser-known but equally challenging symptom. It is physically and mentally distressing, but take heart—it does go away after birth. It's a reminder that pregnancy can bring about unexpected changes, and being informed about them is crucial for managing both physical and emotional well-being.

The Reality of Water Retention

While pregnancy literature often highlights weight gain, nausea, fatigue, and swelling, the drastic change in skin texture is rarely discussed. For those who have experienced this, the shock of seeing their once-familiar body morph into something unrecognizable can be overwhelming.

As a former model, the first encounter with this transformation was especially jarring for me. The emotional toll was immense; the tears flowed freely as I faced the dramatic changes from my pre-pregnancy body. The dimpled, aged appearance of my skin, even on my arms, was a blow to my confidence. It felt as though I was wearing the skin of a much older woman, far from the vibrant image I held of myself.

Now, in my second pregnancy, I approach this change with a bit more wisdom and acceptance. From experience, I know that the orange-peel texture will fade, that my skin will regain its youthful elasticity. Yet, the struggle remains. The discomfort and self-consciousness persist, and I wonder why this aspect of pregnancy isn't more openly discussed.

Photo: Ivan Andrianov via Stocksy

Understanding Water Retention

Water retention, or edema, is common in pregnancy due to increased blood volume and hormonal changes. These factors cause the body to hold onto more fluid, leading to swelling and changes in skin texture.

Increased Blood Volume:
During pregnancy, blood volume can increase by up to 50%, helping to support the growing baby and placenta. This additional fluid can seep into tissues, causing swelling.

Hormonal Changes:
Elevated levels of hormones like progesterone can cause the walls of blood vessels to relax and expand, making it easier for fluid to leak into surrounding tissues.

Pressure from the Uterus:
As the uterus grows, it can put pressure on veins, particularly those in the legs, slowing the return of blood to the heart and causing fluid buildup.

This condition is most noticeable in the third trimester and can affect various parts of the body, including the arms, legs, and face. Understanding these physiological changes can help in managing and mitigating the discomfort of water retention.

Photo: Burdem

Coping with Water Retention

Here are some strategies to manage and mitigate water retention during pregnancy:

Stay Hydrated: Drinking plenty of water can help reduce fluid retention by flushing out excess sodium.

Elevate Your Feet: Elevating your legs can help reduce swelling, especially at the end of the day.

Wear Compression Stockings: These can improve circulation and reduce swelling in the legs.

Exercise Regularly: Gentle exercise like walking or swimming can help improve circulation and reduce fluid buildup.

Reduce Sodium Intake: Cutting back on salt can help prevent water retention.

Consult a Healthcare Provider: Always discuss symptoms and treatment options with your healthcare provider to ensure safety and effectiveness.

Photo: Javier Díez

Additional Remedies and Practices

To further alleviate water retention, consider the following pregnancy-safe practices:

Lymphatic Drainage Massage: This gentle massage technique can help stimulate the lymphatic system, reducing fluid buildup.

Compression Therapy Machines: Devices designed to gently compress the legs can enhance circulation and reduce swelling.

Natural Remedies: Using creams or butters containing ingredients like shea butter, aloe vera, horse chestnut and chamomile can soothe and hydrate the skin and help stimulate blood circulation.

Dry Brushing: This technique involves brushing the skin with a dry, natural-bristle brush to stimulate circulation and promote lymphatic drainage.

Special Massages: Prenatal massages from certified therapists can relieve fluid retention and enhance overall comfort.

Photo: Vera Lair

It is vital for pregnancy resources to include comprehensive information about all possible changes, including those less talked about like water retention. By sharing these experiences and knowledge, we can better prepare expectant mothers for the full spectrum of pregnancy changes, fostering a community of support and understanding.

In embracing the changes of pregnancy, let us also embrace the conversation, shedding light on every aspect of this transformative journey.