Are your shoes feeling a bit snug during pregnancy? You’re not imagining it! Many expectant mothers experience significant changes in their feet during and after pregnancy. Let’s explore why this happens and what you can do about it.

Why Do Feet Change During Pregnancy?

During pregnancy, your body produces hormones, like relaxin, that help prepare for childbirth. These hormones loosen ligaments throughout your body – including those in your feet. Combined with the natural weight gain of pregnancy, this can lead to several changes:

1. Flattening of the Arch
Research has found that pregnancy can cause lowering of the foot arch, particularly during first pregnancies. This occurs because the combination of pregnancy hormones and increased weight stretches the ligaments that support your arch.

2. Longer, Wider Feet
Your feet may become both longer and wider during pregnancy. Studies have shown that these changes often don’t reverse after delivery. Many women find they need to go up a shoe size, especially after their first pregnancy.

3. Increased Foot Volume
The natural fluid retention during pregnancy can make your feet and ankles swell, particularly in the later stages of pregnancy and during warmer weather.

Cracked Heels During Pregnancy

Many pregnant women experience dry, cracked heels (also known as heel fissures). This common problem occurs due to:

• Hormonal changes affecting skin elasticity
• Additional pressure on the heels from pregnancy weight gain
• Changes in the way weight is distributed across the foot
• Natural skin changes during pregnancy

These cracks can be uncomfortable and, if left untreated, may become painful or even lead to infections. Some women notice their heels becoming particularly dry and prone to cracking during the third trimester.

What Can You Do to Support Your Feet?

• Invest in properly fitted shoes with good cushioning and arch support
• Perform gentle foot exercises to maintain strength
• Elevate your feet regularly to reduce swelling
• Consider custom orthotics to provide additional support
• Wear compression stockings if recommended by your healthcare provider
• Moisturise your feet daily, particularly your heels
• Use a pumice stone gently on dry and callused areas
• Stay hydrated to help maintain skin elasticity

Long-Term Effects

While research suggests that pregnancy can lead to lasting changes in foot structure, the extent varies among women. Some may experience permanent changes, particularly after their first pregnancy, while others may see their feet recover somewhat in the months following childbirth.

If these changes persist, they may influence your walking pattern and potentially impact your knees, hips and back. However, with proper footwear and support, the vast majority of mothers successfully adapt to these changes without any long-term problems.

Looking After Your Feet Post-Pregnancy

After giving birth, it’s important to:

• Have your feet measured before buying new shoes
• Choose supportive footwear for your new foot shape
• Consider arch-supporting insoles if you’ve experienced arch lowering
• Continue with a good foot moisturising routine

When to Seek Professional Help

While foot changes during pregnancy are normal, you should consult a podiatrist if you experience:

• Significant swelling that’s worse on one side
• Persistent pain that doesn’t improve with rest
• Difficulty walking due to foot discomfort
• If you notice fissuring or cracks in your heel

Expert Podiatric Care During Pregnancy

Our experienced podiatrists are experienced in pregnancy-related foot changes. We can provide personalised advice and treatment to keep you comfortable during and after pregnancy.