Restless Leg Syndrome during Pregnancy

Published: Oct 21, 2024
Updated: Nov 18, 2024
Restless Leg Syndrome during Pregnancy
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    Did you know that between 10% and 34% of pregnant women develop restless leg syndrome, especially during the third trimester [1]? For some individuals, these symptoms can even persist postpartum.

    Restless legs syndrome, also called RLS, can be a cause of great discomfort. Luckily, knowing what the triggers are for this condition and how to provide relief accordingly can certainly make RLS symptoms easier to manage.

    Key Takeaways
    Between 10% and 34% of pregnant women develop RLS in pregnancy. That is an estimated 1 in 5 women.
    Symptoms of restless leg syndrome include a painful throbbing or pulling-like feeling.
    RLS can be caused by hormonal changes, dopamine imbalance, iron deficiency, or a lack of minerals.
    RLS can be relieved by making some lifestyle changes such as taking a warm bath or journaling.

    What Is Restless Leg Syndrome?

    what is restless legs syndrome

    RLS, also called Willis-Ekbom disease (WED/RLS), is a condition known for the overwhelming urge to move one’s legs, together with a feeling of discomfort [2]. RLS is often worse in the evening and is also often associated with periodic limb movements which are leg twitching and kicking during the night. That being said, RLS can also present itself when you are lying down, even during the day.

    Restless legs syndrome and pregnancy often go hand in hand, and hormonal changes could even worsen symptoms in the third trimester especially.

    Signs of Restless Leg Syndrome during Pregnancy

    Together with the urgent need to move one’s legs, RLS in pregnancy often presents itself as a painful, throbbing, or pulling feeling. The compelling need to move legs can be overwhelming, causing sleep disorders or difficulty sleeping due to involuntary movements. It is not the same as nocturnal leg cramps which can not be easily relieved or improved by moving the legs.

    It goes without saying that an expecting mother needs optimal sleep during every trimester, with the average sleep duration lasting between seven and nine hours. However, a lack of sleep, due to developing RLS, or even other conditions, could severely impact a pregnant woman’s health.

    These include an increased risk for adverse pregnancy outcomes such as preeclampsia and preterm birth, as well as other general afflictions such as fatigue, sleep disorders, and difficulty concentrating.

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    Restless Legs Syndrome Causes

    causes of restless legs syndrome

    Although family history could be an indicator of the cause of RLS during pregnancy, other causes could include hormonal changes, such as those of estradiol and progesterone that rise significantly during the third trimester. A dopamine imbalance [3], an iron deficiency, and other mineral shortfalls can also be reasons why restless legs syndrome peaks during pregnancy.

    Are there any supplements that a woman can take for restless legs while pregnant?

    supplements a pregnant woman can take for restless legs

    Magnesium and iron are key supplements that can assist with alleviating the woes that RLS could cause. Typically, pregnant women who are between 19 and 30 years old need a daily intake of 350 mg, and individuals who are 31 or older require 360 mg. You can also bring magnesium into your daily diet with leafy green, legumes, nuts, and seeds.

    Iron supplements, and foods rich in iron, can also help reduce the symptoms of RLS. According to the Office of Dietary Supplements, a pregnant woman needs 27 mg of iron daily [4]. If you suspect that you might have iron deficiency anemia during pregnancy, you can check in with your doctor to determine if this is indeed the case and what your best course of action could be.

    Always remember to consult your doctor before you add supplements to your diet while pregnant. In the case of magnesium, this supplement might interact negatively with other medicines.

    What is the best medication for restless legs?
    Medications commonly used to treat restless legs syndrome include dopamine agonists, such as pramipexole or ropinirole.
    Dr. June Seliber-Klein
    MD DABPN, Sleep Board Certified, Chief Medical Officer Ognomy Sleep

    Ways To Avoid Restless Leg Syndrome during Pregnancy

    ways to avoid restless leg syndrome

    Although RLS might be unavoidable in some cases, there are some lifestyle changes that you can take to help you manage symptoms. One way, for instance, is to take a relaxing warm bath, which can help facilitate deep sleep and help you relax.

    Also, keeping track of what you eat in a food journal can help you determine if any food triggers are causing RLS symptoms. This can serve as a guide to help you avoid certain triggers that could make symptoms worse.

    See also: 10 Sleep Better Tips To Beat Insomnia

    Conclusion

    RLS might be unavoidable; however, lifestyle changes can significantly ease women’s discomfort due to RLS in pregnancy. If you have any concerns about restless legs syndrome during pregnancy, it is best to make an appointment with your doctor to ensure you do not have underlying medical conditions that are making RLS worse.

    For more tips to help you fall asleep faster, try out the ShutEye® app. ShutEye® is a patented sleep-tracking app that monitors your sleep cycle and offers personalized tips to help you improve your sleep quality.

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    FAQ

    For most people, restless leg symptoms typically peak in the third trimester. Restless leg syndrome is common during pregnancy with around 1 in 5 women experiencing it.

    RLS often appears during especially the third trimester of pregnancy, due to factors such as hormone fluctuations or mineral deficiencies.

    Should you experience RLS, moving around can help ease discomfort [4]. On the other hand, you can take a warm bath or use a heating pad for relief for your legs. Relaxation techniques will also help you to manage RLS during pregnancy.

    Iron supplements and magnesium supplements can be great aids to help relieve the symptoms of RLS. Do remember to check with your doctor first before you take any supplements to ensure they are safe to use and will not inhibit the function of other medications.

    Always check with your doctor before you start taking any medications. It is important that you do not compromise the health of your child, and some medicines could be harmful during pregnancy.

    RLS should disappear within four weeks of giving birth, but this can even be sooner. This will be different for every woman. However, if your RLS symptoms continue well after delivery, it is important that you see your doctor if you have any concerns.
    About authors
    Amirah is a content writer passionate about topics related to mental health and wellness. Recently, she delved into the realm of sleep health, spurred by a personal recognition of her subpar sleep habits and a desire for improvement. Amirah holds a Bachelor’s Degree in International Communication Studies from the University of Nottingham.
    Dr. June Seliber-Klein, MD DABPN is a board-certified sleep specialist with more than 25 years of experience in sleep medicine.

    Cannon S, Hayman M, Lastella M. Pregnant Women's Attitudes and Beliefs towards Sleep and Exercise: A Cross-Sectional Survey. Clocks Sleep. 2023 Jan 17;5(1):34-44. doi: 10.3390/clockssleep5010004. PMID: 36810841; PMCID: PMC9944079.

    Gupta R, Dhyani M, Kendzerska T, Pandi-Perumal SR, BaHammam AS, Srivanitchapoom P, Pandey S, Hallett M. Restless legs syndrome and pregnancy: prevalence, possible pathophysiological mechanisms and treatment. Acta Neurol Scand. 2016 May;133(5):320-9. doi: 10.1111/ane.12520. Epub 2015 Oct 19. PMID: 26482928; PMCID: PMC5562408.

    Masters, M. (2022) Restless Legs Syndrome (RLS) During Pregnancy [online]. Available at: https://www.whattoexpect.com/pregnancy/symptoms-and-solutions/restless-leg.aspx

    Mayo Clinic (2024) Restless legs syndrome [Online]. Available at: https://www.mayoclinic.org/diseases-conditions/restless-legs-syndrome/symptoms-causes/syc-20377168

    Office of Dietary Supplements (2023) Iron [online]. Available at: https://ods.od.nih.gov/factsheets/Iron-Consumer/

    Pietrangelo, A. (2017) Pregnancy Problems: Restless Leg Syndrome [Online] Available at: https://www.healthline.com/health/pregnancy-problems-restless-leg-syndrome

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