Cold, numb or tingling fingertips are common during pregnancy and are usually linked to changes in circulation, hormones and fluid balance. Increased blood volume and changes in blood flow can temporarily narrow the small arteries in the fingertips, especially in cold weather or when stressed. Fluid retention can also swell the wrist and press on a nerve, causing carpal tunnel syndrome, which is more likely in the later months. Other possible causes include anaemia, vitamin B12 deficiency and thyroid problems. Gentle relief measures include keeping hands warm, doing wrist exercises, avoiding long repetitive hand tasks, exercising regularly and drinking enough water. The symptoms usually ease after delivery. See a doctor if you have severe pain, numbness that does not go away, colour changes in the fingers, symptoms in one hand only, weakness in gripping or worsening tingling.