The Effect of Combined Foot Massage and Leg Elevation on Foot Edema in Third-Trimester Pregnant Women
DOI:
https://doi.org/10.53713/htechj.v4i1.424Keywords:
foot edema, foot massage, leg elevation, pregnant women, third trimesterAbstract
Pregnancy, particularly during the third trimester, is commonly associated with lower-limb edema due to increased pressure on the pelvic veins and inferior vena cava from the enlarging uterus. Foot edema in late pregnancy results from this venous compression, leading to elevated hydrostatic pressure and fluid accumulation in the interstitial spaces of the feet and ankles. Management of foot edema can be performed non-pharmacologically, one approach being a combination of foot massage and leg elevation. The objective of this study was to determine the effect of the combination of foot massage and leg elevation on foot edema in third-trimester pregnant women. This research employed a quasi-experimental study design with a two-group pretest-posttest design and a control group. The sample was 30 respondents. The sampling technique used was purposive sampling. The instruments used were the SOP and the pitting scale observation sheet. Data analysis using the Wilcoxon test showed a p-value < 0.001, indicating a statistically significant reduction in foot edema before and after the intervention. Additionally, the Mann-Whitney test yielded a p-value of 0.003, confirming a statistically significant difference in posttest results between the intervention and control groups. The combination of foot massage and leg elevation significantly reduced foot edema in pregnant women in the third trimester. Clinically, this combination can be applied as a simple and effective non-pharmacological intervention to reduce physiological foot edema during pregnancy.
References
Anwar, N., Irwan, A. M., Saleh, A., & Usman, S. (2022). Effect of Foot Massage on Decreasing Blood Pressure and Anxiety in Older People with Hypertension in Indonesia. Journal of Health Management, 24(2), 260–267. https://doi.org/10.1177/09720634221087786
Baish, J. W., Padera, T. P., & Munn, L. L. (2022). The effects of gravity and compression on interstitial fluid transport in the lower limb. Scientific Reports, 12(1), 4890. https://doi.org/10.1038/s41598-022-09028-9
Biana, C. B., Cecagno, D., Porto, A. R., Cecagno, S., Marques, V. D. A., & Soares, M. C. (2021). Non-pharmacological therapies applied in pregnancy and labor: an integrative review. Revista da Escola de Enfermagem da USP, 55, e03681. https://doi.org/10.1590/S1980-220X2019019703681
Carolin, B. T., Suralaga, C., & Salmawati, A. (2023). The Effect of Foot Massage and Warm Footbath with Kencur Aromatic (Kaempferia galanga) on Foot Edema among Pregnant Women. Health and Technology Journal (HTechJ), 1(2), 148–154. https://doi.org/10.53713/htechj.v1i2.32
Chadwick, S. E. (2022). The use of leg elevation in the treatment of chronic peripheral oedema. British Journal of Community Nursing, 27(Sup10), S28-S32. https://doi.org/10.12968/bjcn.2022.27.Sup10.S28
Dalio, M. B., Gardenghi, L. A., & Dezotti, N. R. A. (2022). Pregnancy and lower limb swelling. In Approach to Lower Limb Oedema (pp. 285-294). Springer Nature Singapore. https://doi.org/10.1007/978-981-16-6206-5_19
Gangakhedkar, G. R., & Kulkarni, A. P. (2021). Physiological Changes in Pregnancy. Indian Journal of Critical Care Medicine, 25(Suppl 3), S189. https://doi.org/10.5005/jp-journals-10071-24039
Igwesi-Chidobe, C. N., Emmanuel, G. N., & Okezue, O. C. (2021). Community-based non-pharmacological interventions for improving pain, disability and quality of life in pregnant women with musculoskeletal conditions: protocol for a systematic review with meta-analyses. BMJ open, 11(2), e042107. https://doi.org/10.1136/bmjopen-2020-042107
Kumar, A., K. Mandal, R. S., Bhatt, S., & Kumar, A. Physiological Edema. 331-338. https://doi.org/10.1002/9781394204007.ch30
Luo, L., Zhou, K., Zhang, J., Xu, L., & Yin, W. (2020). Interventions for leg cramps in pregnancy. Cochrane Database of Systematic Reviews, 2020(12). https://doi.org/10.1002/14651858.CD010655.pub3
Mockridge, A., & Maclennan, K. (2022). Physiology of pregnancy. Anaesthesia & Intensive Care Medicine, 23(6), 347-351. https://doi.org/10.1016/j.mpaic.2022.02.027
Mollaelahi, F., & Shahali, S. (2022). Non-pharmacological interventions for the management of lower extremity edema during pregnancy: A narrative review study. Medical-Surgical Nursing Journal, 11(1). https://doi.org/10.5812/msnj-123284
Ni Putu, W. D., Sukraandini, N. K., Dharma Wiasa, I. N., & Sudarmika, P. (2023). Effect of Foot Massage Therapy on Patients’ Non-Invasive Hemodynamic Status in The Intensive Care Unit. Nursing and Health Sciences Journal (NHSJ), 3(1), 109–115. https://doi.org/10.53713/nhs.v3i1.201
Novelia, S., Rukmaini, & Veratu Caka, R. (2022). The Effect of Foot Massage and Warm Water Mixed with Aromatic Ginger Foot Bath on Edema in Pregnancy. Nursing and Health Sciences Journal (NHSJ), 2(4), 293–298. https://doi.org/10.53713/nhs.v2i4.144
Nursanti, A., Rosyida, R. W., & Setyorini, Y. (2024). The Combination of Ankle Pumping Exercise and 30Ëš Leg Elevation on Foot Edema in Chronic Kidney Disease. Jurnal Kesehatan Prima, 18(2), 61–68. https://doi.org/10.32807/jkp.v18i2.1338
Ochalek, K. (2021). Three-year follow-up of the compression use in lower limb edema during pregnancy: A case report. Journal of Vascular Nursing, 39(2), 43-46. https://doi.org/10.1016/j.jvn.2021.04.002
Robinson, J. N., & Phelan, J. P. (2024). Pregnancy-Induced Physiologic Alterations. Critical Care Obstetrics. 49-75. https://doi.org/10.1002/9781119820260.ch4
Rondhianto, Rohmah, A. ’Izzatur, Mustakim, & Sutawardana, J. H. (2025). Ankle Pump Exercise and Foot Massage Intervention on Reducing Leg Edema in Chronic Kidney Disease (CKD) Patients. Health and Technology Journal (HTechJ), 3(6), 789–796. https://doi.org/10.53713/htechj.v3i6.462
Singh, S. K., & Revand, R. (2022). Physiological basis of lower limb edema. In Approach to lower limb oedema (pp. 25-43). Springer Nature Singapore. https://doi.org/10.1007/978-981-16-6206-5_3
Solmaz G. (2023). The Effect of Foot Massage Applied to Patients With Congestive Heart Failure on Peripheral Edema and Sleep Quality: A Randomized Controlled Study. Holistic Nursing Practice, 37(3), 143–152. https://doi.org/10.1097/HNP.0000000000000581
Songwathana, P., Akaraborworn, O., Sae-Sia, W., & Choksuchart, C. (2025). Effects of an electronic foot massage device on venous blood flow velocity in healthy adults. Journal of Vascular Nursing, 43(2), 80-85. https://doi.org/10.1016/j.jvn.2025.03.001












