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Expert Q&A:
What do you recommend for helping swollen hands?

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Margaret Freda
Answered by Margaret Freda Ed.D., R.N., C.H.E.S., F.A.A.N.
"I've been a professional nurse working with pregnant women and parenting families since 1966," says Margaret Comerford Freda. "Pregnant women and parents need to know as much as possible about their own health and that of their children."

Margaret Comerford Freda, Ed.D., R.N., C.H.E.S., F.A.A.N., is a Professor in the Department of Obstetrics &; Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, and also serves as Director of Patient Education Programs for that department. Since 1993, Dr. Freda has been the Consultant for Nursing at the National March of Dimes Birth Defects Foundation and the Chair of the National March of Dimes Nurse Advisory Council. In addition, Dr. Freda serves as the editor of MCN, The American Journal of Maternal Child Nursing.

Dr. Freda received her Master's Degree in Nursing from New York University and her doctorate in Health Education from Columbia University. She has worked in women's health for her entire professional career. Dr. Freda has published 50 research articles in professional journals, and is a frequently invited speaker at nursing and medical conferences. She has written two books: Perinatal Patient Education, published by Lippincott Williams &; Wilkins, and Miscarriage After Infertility, published by Fairview Press, written with her daughter Carrie Semelsberger, who is also a nurse.

Dr. Freda has received several noteworthy awards, such as the Distinguished Professional Service Award and the First National Award for Excellence in Nursing Research from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), the Woman of Distinction Award and the Maternal Child Nurse of the Year Award from the March of Dimes, the Patient Care Award for Excellence in Patient Education from the American Academy of Family Physicians, the Research Recognition Award from Molloy College, and several Outstanding Research Paper awards at national conferences. She serves on the Scientific Advisory Council for the March of Dimes, and was selected to serve on the Select Panel of the Centers for Disease Control to advise on prenatal health. Dr. Freda has developed patient education booklets and videotapes that are now distributed nationally.

Dr. Freda has been married for four decades. She has two daughters, two sons-in-law, three grandsons, and a granddaughter.
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Question


Do you have any recommendations for helping swollen hands? I have developed carpal tunnel syndrome and my hands are so swollen and soDo you have any recommendations for helping swollen hands? I have developed carpal tunnel syndrome and my hands are so swollen and sore these days.

Answer


The first thing to think about is your diagnosis. Swollen hands can be associated with other problems of pregnancy such as preeclampsia. Preeclampsia can be a dangerous illness involving high blood pressure, swelling in various parts of your body, and other symptoms. So if your hands are swollen, be sure to see your health care provider right away to get a diagnosis. If, however, you have been diagnosed with carpal tunnel syndrome (pressure on the median nerve in the wrist), you should know that this usually occurs in the third trimester, and that it generally goes away after the baby is born when your body fluids rearrange themselves. Research suggests that the best treatment is splinting of the wrists. Some providers give diuretic pills (water pills) for this, but they don't always work. Very, very few women ever require surgical treatment after the baby is born. Best of luck.

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