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In most women, swelling is more noticeable in the legs, especially around the ankles.
Puffiness of the wrists and ankles during pregnancy is caused by the accumulation of fluid in the tissues.
This is probably due to the changes in the cardiovascular system, causing the blood vessels close to the surface of the skin to become more dilated in response to the increased blood volume.
Even though a certain amount of fluid retention is normal, too much can become uncomfortable and could lead to certain health problems, such as high blood pressure. Each woman retains fluid according to her individual needs.