Varicose Veins During Pregnancy: Causes, Prevention & Relief

Noticed bulging, swollen veins on your legs, feet, or even in unexpected places like your vulva? Varicose veins are common during pregnancy, affecting up to 40% of moms-to-be. While they’re usually harmless, they can cause discomfort, swelling, and aching. The good news? There are ways to prevent and relieve varicose veins so you can stay as comfortable as possible. Let’s explore why they happen, how to manage them, and when to call your doctor.

What Causes Varicose Veins During Pregnancy?

Varicose veins occur when veins become swollen and stretched due to poor circulation and increased pressure. Several factors contribute to them during pregnancy:

1. Increased Blood Volume

• Your body produces 50% more blood during pregnancy, putting extra strain on your veins.

2. Hormonal Changes (Progesterone)

• Higher progesterone levels relax blood vessel walls, making veins more prone to swelling.

3. Pressure from the Growing Uterus

• As the uterus expands, it puts pressure on veins in the pelvis and legs, slowing blood return to the heart.

4. Genetic Predisposition

• If your mom or grandma had varicose veins during pregnancy, you’re more likely to get them too.

5. Prolonged Standing or Sitting 

• Staying in one position for too long reduces circulation, increasing the risk of varicose veins.

Good news: Varicose veins often improve after childbirth, especially within 3-4 months postpartum!

Common Symptoms of Varicose Veins

Swollen, twisted, or bulging veins (usually in the legs)
Blue, purple, or dark veins visible under the skin
Aching, throbbing, or heaviness in the legs
Itching or burning sensation near the veins
Swelling in feet or ankles (especially after standing) Some women also develop vulvar varicose veins (swollen veins in the vaginal area), which usually go away after delivery.

7 Ways to Prevent & Relieve Varicose Veins

1. Keep Moving!

Take short walks throughout the day.
Avoid standing or sitting for long periods. Tip: If sitting for a while, flex your ankles and move your legs to boost circulation.

2. Elevate Your Legs 

Prop your legs up on a pillow while resting.
Avoid crossing your legs, which can worsen circulation. Tip: Lie on your left side when sleeping to reduce pressure on veins.

3. Wear Compression Stockings

Maternity compression socks help support veins and reduce swelling.
Put them on before getting out of bed in the morning for best results. Tip: Choose graduated compression stockings (your doctor can recommend the right type).

4. Stay Hydrated & Eat Fiber-Rich Foods

Drink plenty of water to improve circulation.
Eat fiber-rich foods (fruits, veggies, whole grains) to prevent constipation, which can worsen varicose veins. Tip: Avoid too much salt, which can cause swelling.

5. Avoid High Heels & Tight Clothing

Wear comfortable, flat shoes that support circulation.
Opt for loose-fitting maternity clothing to avoid restricting blood flow.

6. Try Cool Compresses or Massage 

Cool compresses can reduce inflammation in swollen veins.
Gentle leg massages (with upward strokes) can boost circulation. Tip: Avoid deep pressure massage on varicose veins, as it can worsen irritation.

7. Keep Your Weight in a Healthy Range

Gaining weight gradually reduces excess strain on veins.
Follow your doctor’s recommended pregnancy weight gain guidelines.

When to Call Your Doctor

Most varicose veins are harmless, but seek medical advice if you experience: Severe pain or swelling in one leg
Redness, warmth, or hardness over a vein (possible blood clot)
Open sores or ulcers near varicose veins
Sudden shortness of breath (could indicate a clot in the lungs—call 911 immediately). Rarely, varicose veins can lead to deep vein thrombosis (DVT), a serious condition requiring immediate treatment.

Final Thoughts: Managing Varicose Veins in Pregnancy

Varicose veins may be uncomfortable, but they are usually harmless and temporary. By staying active, elevating your legs, wearing compression socks, and practicing good circulation habits, you can reduce symptoms and stay comfortable. After delivery, most varicose veins improve or disappear within a few months—so hang in there, mama!