Most moms-to-be can’t wait until their baby bumps begin to show. For many pregnant women, however, the swelling doesn’t stop at the abdomen. Many wonder, “Who switched my legs for these misshapen, bruised-looking legs that throb and ache?”

Pregnancy and Varicose Veins
Pregnancy is a common cause of varicose veins, which are weak, dilated veins that are filled with blood. Varicose veins occur when the valves in the veins of the lower legs no longer function properly, causing blood to flow backward and pool.

There are three reasons varicose veins develop during pregnancy, according to Anil Kumar, MD, MRCP, FACC, RPVI, RPhS, Medical Director of the Vein Center at YRMC. The first reason is linked to the hormones women’s bodies produce during pregnancy.

“The veins become dilated because of the progesterone and relaxin hormones released during pregnancy,” Dr. Kumar explained. “Progesterone causes the uterine lining to thicken, which helps create an ideal, supportive environment in the uterus for the embryo. At the same time, the progesterone thins the walls of the veins, which can lead to varicose veins.”

Just as its name indicates, one of the jobs of the hormone relaxin is to prepare the body for childbirth by relaxing the ligaments.

Increased blood volume – which happens during pregnancy – is the second reason veins may become damaged during pregnancy.

“And the third reason happens at the end of a pregnancy,” Dr. Kumar said. “At this time, the weight of the uterus can press the inferior vena cava—the body’s primary vein. This may then cause compression of other veins and lead to varicose veins.”

Who’s at Risk and When
What puts you at risk for developing varicose veins during pregnancy? The risk factors include:

  • Weight gain (a natural part of pregnancy)
  • A personal or family history of blood clots
  • Smoking
  • Age (women who are older than 35 when they become pregnant)

Varicose veins can develop at any time during pregnancy or at the time of delivery if there is vein injury. Some new moms develop varicose veins after the baby is born due to bed rest or because it takes time to return to their regular exercise routines. And, with each pregnancy, varicose veins tend to worsen, especially for women with family histories of vein disease.

After the baby is born, a mom’s blood also becomes hyper-coagulated, which increases the risk for blood clots. This is called deep vein thrombosis (DVT).

“Moms can develop DVT while breastfeeding,” Dr. Kumar said. “It’s an extremely dangerous situation if a blood clot travels to the lungs.”

Preventing Varicose Veins During Pregnancy
According to Dr. Kumar, the good news is that you can prevent varicose veins during pregnancy. From the start of pregnancy, a woman can guard against varicose veins by staying hydrated, taking walks every hour or two during the day, and staying active – unless she is on bed rest.

The best tool to prevent varicose veins during pregnancy? Wear compression stockings, Dr. Kumar said.

“I recommend compression stockings from the beginning of pregnancy until three to six months after delivery,” he said.

Compression stockings gently squeeze the legs, boosting circulation, improving blood flow, preventing or reducing swelling and helping the vein valves pump blood to the heart more efficiently. Legs feel better and there is a much smaller risk of blood clots forming.

Vein Center Offers Free Fittings
Compression stockings fit tightly around the ankles and loosen as they move up the legs. They’re available in two sizes suitable for moms-to-be: 15-20 mmHg, for minor swelling, and 20-30 mmHg, for more significant swelling and severe pain.

Knee-high, thigh-high and full-length stockings (with built-in belly support panels that also help with back pain) are available, as are maternity leggings and tights, open-toed and footless styles. They also come in many cool colors and patterns.

The Vein Center provides free fittings as well as information on the use and care of compression stockings.
For more information, call (928) 759-5890. The Vein Center at YRMC is located at 3262 North Windsong Drive in Prescott Valley.