To alleviate dependent edema in a pregnant patient, what is the recommended treatment?

Elevating the legs is a recommended treatment for alleviating dependent edema in pregnant patients. This approach helps reduce swelling by allowing gravity to assist with venous return from the lower extremities back to the heart. During pregnancy, the growing uterus can compress the pelvic veins and impede blood flow, leading to increased fluid accumulation in the legs. Elevation encourages fluid resorption and decreases venous pressure, providing relief from the discomfort associated with edema.

In contrast, limiting fluid intake can potentially worsen dehydration and does not effectively address the underlying mechanisms of edema. Prescribing thiazide diuretics is typically contraindicated during pregnancy unless absolutely necessary, as they may disrupt electrolyte balance and potentially harm the fetus. Strict avoidance of sodium is not generally advised; rather, a balanced intake of sodium is recommended, as sodium restriction can lead to fluid retention and further exacerbate edema in some cases.