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Expert Q&A:
What makes your legs feel like they've fallen asleep during pregnancy?

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Elaine Zwelling
Answered by Elaine Zwelling R.N., Ph.D., L.C.C.E., F.A.C.C.E.
Elaine Zwelling, R.N., Ph.D., has been involved in maternal-newborn health care for 40 years. She has a bachelor's degree in nursing from Capital University and a master's degree in nursing and a Ph.D. in Family Relations and Human Development from Ohio State University. Dr. Zwelling brings to the Pampers Parenting Network her experience of helping expectant parents enjoy their pregnancy, plan and create a positive birth experience, and learn about parenting their newborn baby. She is certified by Lamaze International as a childbirth educator, is a Fellow in the American College of Childbirth Educators, and has taught childbirth classes for 25 years. Dr. Zwelling was the director and faculty for the Lamaze International Childbirth Educator Certification Program of Florida; in that role she prepared many nurses to become childbirth educators.

Dr. Zwelling was a Professor of Maternal-Newborn Nursing for 23 years at both Capital University and Ohio State University in Columbus, Ohio. At these institutions she taught undergraduate and graduate students and conducted research. For eight years she was a Senior Consultant with Phillips &; Fenwick, a women's health consulting firm in Santa Cruz, California, specializing in helping hospitals implement family-centered maternity care. Currently Dr. Zwelling is a Perinatal Nurse Consultant with the Hill-Rom Company. In this position, she provides comprehensive support and consultation to hospital maternity units to create quality care environments equipped with the appropriate equipment for labor and birth and provides clinical education for nursing staff.

Dr. Zwelling is the co-author of a maternal-newborn nursing textbook, Maternal-Newborn Nursing: Theory and Practice, and has published many professional journal articles related to maternal-newborn health care, family-centered maternity care, and childbirth education. Dr. Zwelling is a recognized speaker at professional conferences and teaches continuing education seminars for childbirth educators and perinatal nurses throughout the country.

Dr. Zwelling resides in Sarasota, Florida, and has a grown son, lovely daughter-in-law, and two grandchildren.

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Question


I am 4 months pregnant. Sometimes my legs feel as if they are falling asleep for hours at a time. Is my baby pinching a nerve?

Answer


The leg sensation you describe could be caused by your baby and uterus putting pressure on a nerve in your pelvis, which could radiate down to your legs. But because your baby and uterus are not yet very big at four months of pregnancy, I would not expect this to be a problem this early. Tingling legs and leg cramps usually occur later in pregnancy, when the baby is much bigger. Changes in your circulation may also be contributing to the sensation you're feeling. Be sure to inform your health care provider about your concern, but in the meantime here are some things you can try:

  • Do some leg stretching / foot exercises throughout the day. Extend your legs out in front of you and make circles with your ankles; wiggle your toes. This may help with circulation in your legs and feet.
  • Elevate your legs whenever you can throughout the day.
  • Try wearing support hose.
  • Do the "pelvic rock" exercise to stretch low back muscles and increase pelvic circulation. Lie on your back with your knees bent and your feet on the floor. Rock your bony pelvis toward your face, tightening your abdominal muscles and buttocks; the small of your back will be flat against the floor. Rock the pelvis away from your face and relax your muscles; your back will be slightly arched. Repeat these steps 10 times in a slow rocking movement.
  • Lie on your side rather than on your back when sleeping.
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