Dr. Jessica Shepherd
Fluids need to be increased during pregnancy in order to support fetal circulation, amniotic fluid, and a higher blood volume. The current recommendation for water intake is drinking 8–10 glasses of water each day. Swelling in the feet can be alleviated by wearing TED hose (compression stockings), and elevating the legs when possible.
When traveling during pregnancy, no matter how you travel (car, trains or planes), the important part is to move every so often during the trip to ensure blood flow to the legs. In pregnancy, the chances of having a blood clot in the leg is increased so ambulation is very important. Flying in a low risk pregnancy can be done until 32-34 weeks however it is best to consult with your OB regarding trips later into pregnancy. For higher risk pregnancies, it should always be discussed with your OB before travel. When driving long distances it is important to: 1) stop every few hours to get out of the car and walk around to create good blood flow, 2) make sure there is easy access to water for hydration and 3) pack extra water or frozen water so it melts when it’s hot outside.
The best footwear to wear should provide the flexibility and support you need during this important time. The average woman sees her feet grow by about half a size during the nine months she’s pregnant. Like so many other pregnancy symptoms, this change is due to hormones. As your joints become looser, the small bones in your feet can spread, leading to longer and wider feet. In addition, pregnancy swelling caused by fluid retention can make your shoes feel even tighter. Look for shoes such as ballet flats, athletic shoes and sandals that have adjustable bands. When looking for shoes shop after you’ve been on your feet a while. And shop for low, wide heels are better than heels or pumps because they provide more stability.
Summer allergies are quite normal in pregnancy, Allergy medications are sometimes recommended during pregnancy. Before you take any medication during pregnancy, however, it’s important to weigh the severity of your symptoms against the possible risks to your baby. Not all medications are prohibited in pregnancy so have an open discussion with your OB. If you’re struggling with allergy symptoms, it might help to avoid triggers by limiting your exposure to anything that triggers your allergy symptoms and also trying saline nasal spray.