The effectiveness of prenatal exercise on leg swelling in third-trimester pregnant women: A literature review

DOI: https://doi.org/10.56922/mchc.v5i2.3318

Authors

  • Ni Wayan Sulistia Devi Poltekkes Kemenkes Denpasar
  • Ni Luh Putu Sri Erawati Poltekkes Kemenkes Denpasar
  • Ni Wayan Suarniti Poltekkes Kemenkes Denpasar

Leg Edema Pregnant Women Prenatal Exercise

Abstract

Background: Leg swelling (edema) is a common complaint among third-trimester pregnant women due to fluid retention and impaired venous return. Prenatal exercise is a safe nonpharmacological intervention that can help reduce leg edema.

Purpose: To determine the effectiveness of prenatal exercise on leg swelling in third-trimester pregnant women based on previous research findings.

Method: This study employed a literature review method, with articles retrieved from the PubMed, Google Scholar, and ScienceDirect databases from 2021 to 2026. Inclusion criteria included original research articles on prenatal exercise or physical activity regarding leg edema in third-trimester pregnant women. Article selection followed the PRISMA flowchart, resulting in 9 eligible articles.

Results: The review findings indicate that prenatal exercise is effective in reducing leg swelling in third-trimester pregnant women. Prenatal exercise helps improve blood circulation, enhance venous return, improve vascular function, and reduce fluid retention in the lower extremities. Additionally, prenatal exercise improves physical comfort and quality of life for pregnant women.

Conclusion: Prenatal exercise is effective as a nonpharmacological intervention to reduce leg edema in third-trimester pregnant women and can be recommended in antenatal care.

Downloads

Download data is not yet available.

References

Abolbaghaei, A., Mohammad, S., da Silva, D. F., Hutchinson, K. A., Myette, R. L., Adamo, K. B., & Burger, D. (2022). Impact of acute moderate-intensity aerobic exercise on circulating extracellular vesicles in pregnant and non-pregnant women. Applied Physiology, Nutrition, and Metabolism, 48(2), 198-208.

Bhattacharjee, J., Mohammad, S., & Adamo, K. B. (2021). Does exercise during pregnancy impact organs or structures of the maternal-fetal interface?. Tissue and Cell, 72, 101543.

Davenport, M. H., Ruchat, S. M., Poitras, V. J., Jaramillo Garcia, A., Gray, C. E., Barrowman, N., & Mottola, M. F. (2018). Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: a systematic review and meta-analysis. British journal of sports medicine, 52(21), 1367-1375.

Farag, W. K. A., Alam, T. H. M., & Ibrahim, H. I. (2025). Effect of Modified Buerger-Allen Exercises on Physiological Leg Edema during the Third Trimester of Pregnancy. Tanta Scientific Nursing Journal, 37.

Ferrari, N., & Joisten, C. (2021). Impact of physical activity on course and outcome of pregnancy from pre-to postnatal. European journal of clinical nutrition, 75(12), 1698-1709.

Fitriani, D., Lestari, P., & Handayani, R. (2021). The benefits of prenatal exercise on maternal comfort during pregnancy. Journal of Midwifery Care, 5(2), 77–84.

Lestari, P., & Putri, A. (2023). The effectiveness of prenatal exercise in reducing leg edema among third trimester pregnant women. Indonesian Journal of Maternal Health, 8(1), 33–41.

Li, X., Zhang, W., & Chen, Y. (2025). Effectiveness of prenatal exercise on maternal quality of life during pregnancy. BMC Women’s Health, 25(1), 1–11.

Marliani, M., Hasibuan, N. S., Nurmawan, S., Handayani, F., Sinaga, R., & Nurfadila, S. (2026). The Effect Of Prenatal Exercise On Sleep Quality In Pregnant Women During The Third Trimester. Open Access Health Scientific Journal, 7(1), 80-85.

Ningsih, S., & Pratiwi, D. (2022). The effect of leg exercise on lower extremity edema in third trimester pregnant women. Journal of Midwifery Care, 6(2), 55–63.

Pongpanit, K., Dayan, N., Janaudis-Ferreira, T., Roig, M., Spahija, J., & Bertagnolli, M. (2024). Exercise effects on maternal vascular health and blood pressure during pregnancy and postpartum: a systematic review and meta-analysis. European Journal of Preventive Cardiology, 31(13), 1606-1620.

Rahmawati, Y., & Dewi, P. (2024). The effectiveness of prenatal exercise classes on reducing leg edema in pregnant women. Indonesian Journal of Midwifery, 8(1), 40–48.

Rahmawati, Y., & Sari, D. (2022). Incidence of physiological edema in third trimester pregnant women. Journal of Maternal Health, 7(2), 88–95

Saccone, G., Perrino, C., Bardi, L., Fico, V., Ilardi, F., Motta, M., & Bifulco, G. (2026). Exercise in pregnancy and maternal cardiovascular changes. BMC Pregnancy and Childbirth, 26(1), 177.

World Health Organization. (2022). World Mental Health Report: Transforming mental health for all. Retrieved from: https://www.who.int/publications/i/item/9789240049338

Wulandari, A. M., & Ainiyati, S. O. (2025). Molecular and Physiological Mechanisms of Antenatal Exercise for Preventing Hypertensive Disorders in Pregnancy: A Systematic Review. Journal of Research in Midwifery and Healthcare, 1(2), 32-44.

Yuliana, D., & Dewi, S. (2021). The effect of prenatal exercise on lower extremity edema among pregnant women. Journal of Holistic Midwifery, 4(1), 22–29.

Downloads

Published

2026-06-10