Is Swelling, Braxton Hicks, or Pelvic Pressure Normal in the Third Trimester?

Yes. Mild swelling, Braxton Hicks contractions, and pelvic pressure are all typically normal in the third trimester. It’s caused by increased fluid volume, your uterus “practicing” for labor, and your baby settling lower. A smaller set of symptoms isn’t normal and needs same-day medical attention. Here’s how to tell the difference.

Is Swelling in My Hands, Feet, or Ankles Normal?

Yes. Mild swelling (edema) in the feet, ankles, and hands is a normal part of the third trimester.

It’s caused by your body holding onto more fluid and blood volume to support your baby, and is usually worse by evening and in warm weather.

What’s not typical: sudden swelling in your face or hands, or swelling paired with a headache or vision changes. Those can be signs of preeclampsia and are worth a same-day call to your provider, per ACOG and Mayo Clinic.

How Do I Tell Braxton Hicks Contractions From Real Labor?

Braxton Hicks contractions are irregular, don’t intensify over time, and usually ease with a position change, rest, or water.

Real labor contractions do the opposite. They grow longer, stronger, and closer together no matter what you do (Cleveland Clinic).

Is Pelvic Pressure Normal in the Third Trimester?

Yes. A heavy, achy pressure low in your pelvis is common as your baby drops lower, and often means engagement is underway.

Sharp or one-sided pain is different and deserves a call to your provider.