「產兒科護理學-妊娠期婦女的護理」孕期下肢腫脹的護理指導：舒緩不適，輕鬆孕期Managing Lower Extremity Edema During Pregnancy: Tips for a Comfortable Pregnancy

第三孕期婦女下肢腫脹，傍晚時鞋子就穿不下

Lower extremity edema is a common complaint among pregnant women, especially during the third trimester. The swelling can be uncomfortable and make it difficult to perform daily activities.

可穿舒適軟質包鞋，軟質包鞋能提供足部足夠的空間，減輕對腳部的壓迫，有助於舒緩腫脹。

Wear comfortable, soft shoes: Soft shoes provide ample space for your feet and can help alleviate swelling.

可做足背屈曲運動，這類運動能幫助促進腿部血液循環，緩解水腫。

Perform foot dorsiflexion exercises: These exercises can help improve blood circulation in the legs and reduce swelling

臥床休息時，採左側臥，能減輕子宮對下腔靜脈的壓迫，有利於血液回流，減輕水腫。

Sleeping on your left side can help reduce pressure on the inferior vena cava and improve blood1 flow.

一般來說，孕婦穿著彈性襪是為了促進血液循環，減緩下肢腫脹。但及膝彈性襪對於孕婦來說，可能反而會造成壓迫，影響下肢的血液循環，加重水腫的狀況。

While compression stockings can help improve circulation, knee-high stockings may actually worsen swelling by restricting blood flow.

為什麼孕婦容易下肢腫脹？

Why do pregnant women experience swelling in their legs?

體內水分增加： 孕期體內水分增加，容易導致組織水腫。

Increased fluid retention: The body retains more fluid during pregnancy, leading to swelling in the tissues.

子宮壓迫： 隨著胎兒成長，子宮壓迫下腔靜脈，影響靜脈回流。

Uterine compression: As the uterus grows, it can compress the inferior vena cava, a large vein that carries blood back to the heart, leading to decreased blood flow in the legs.

激素變化： 孕期激素變化，可能導致血管壁通透性增加，水分更容易滲出血管。

Hormonal changes: Hormonal changes during pregnancy can increase blood vessel permeability, causing fluid to leak out into the surrounding tissues.

Tips for managing lower extremity edema during pregnancy:

除了上述的護理指導外，孕婦還可以透過以下方式來緩解下肢腫脹：

In addition to the above nursing guidance, pregnant women can also try the following methods to alleviate lower extremity swelling:

飲食調整： 減少鈉鹽攝取，多攝取富含鉀的食物。

educe sodium intake and increase potassium intake.

抬高下肢： 休息時抬高雙腿，促進血液回流。

Elevate your legs when resting to promote blood flow

避免久站或久坐： 定期變換姿勢，促進血液循環。

Avoid prolonged standing or sitting: Change positions frequently to improve circulation.

泡腳： 用溫水泡腳，有助於舒緩疲勞。

Soak your feet in warm water: Soaking your feet in warm water can help relieve swelling and discomfort.