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Does foot size increase for all pregnant women?
Pregnancy

Does foot size increase for all pregnant women?

2 min readWeek 29
Key takeaways
2 min
  • Expect your feet to widen during pregnancy due to fluid retention, with 78% of women reporting permanent width changes after childbirth.
  • Plan for potential shoe size increases as 44% of pregnant women need half to full size larger shoes by third trimester.
  • Understand that foot length changes occur when pregnancy hormones like relaxin loosen ligaments, causing arches to flatten under extra weight.
  • Consider that orthopedic insoles may theoretically help maintain foot size, but research shows inconsistent results in preventing permanent changes.
  • Prepare for lasting changes since only 8-9ml of the average 57ml foot swelling typically resolves two months postpartum.

Not all pregnant women experience foot size increases, but 44% find their feet are half to a full size bigger. Changes occur due to fluid retention (width) and hormones loosening ligaments (length), with 78% reporting permanent width changes after childbirth.

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By now, you are well aware that legs swell during pregnancy. During the third trimester, eight out of 10 women also notice that they have to buy wider, more comfortable shoes. About 44 percent of pregnant women discover their feet are now half a size (or even a whole size) bigger [1]. And after childbirth, some find that their new size is permanent. 

Do feet grow during pregnancy? 

The width of a pregnant woman’s feet can increase due to fluid retention, not because of any changes in the bones of the feet. Studies show that the average foot swells by 57 ml during pregnancy, and two months after giving birth, swelling goes down by only 8-9 ml. About 78 percent of women say their feet do not return to their pre-pregnancy width. And 29 percent say their feet are now longer [1]. That can be mostly attributed to hormones (especially relaxin), which allow ligaments and tendons to become more elastic and extensible. Considering the additional weight pressing down on them, it is easy to see how the feet can flatten out.

Can orthopedic insoles or special shoes prevent an increase in shoe size?

In theory, they can. Research shows that the foot lengthens because the arch stretches out a little. Pregnancy weight can place additional pressure on the feet, making the arches flatter, thus adding millimeters to the length of the foot [2].

Many believe that by wearing insoles that support the arch, a woman can avoid significant changes to her feet while expecting. However, studies on special shoes and insoles have only been done in small groups, and the results are not consistent [3]. So, unfortunately, it appears there’s not much reason to hope that orthopedic shoes or insoles will help maintain your foot size during pregnancy.

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Frequently asked questions

No, not all pregnant women experience foot size changes. About 44% of pregnant women find their feet are half to a full size bigger, while 80% notice they need wider shoes during the third trimester.

For many women, yes. About 78% report their feet don't return to pre-pregnancy width, and 29% say their feet remain longer after childbirth. Only a small portion of pregnancy-related foot swelling resolves postpartum.

Feet increase in size due to fluid retention causing width changes and hormones like relaxin loosening ligaments. The extra pregnancy weight flattens foot arches, which can increase foot length.

Possibly, but evidence is limited. While arch-supporting insoles theoretically could help prevent foot lengthening, studies on orthopedic shoes and insoles show inconsistent results in maintaining original foot size.

Most women notice foot changes during the third trimester when swelling peaks. However, hormonal changes affecting ligaments begin earlier in pregnancy and can contribute to gradual size increases throughout.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Medically reviewed content

Reviewed by healthcare professionals · Updated March 25, 2025

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