Causes constipation pregnancy
Constipation during pregnancy | Pregnancy Birth and Baby
Constipation during pregnancy | Pregnancy Birth and Baby beginning of content5-minute read
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What is constipation?
'Normal' bowel function differs from person to person, although some people find it difficult to pass soft stools (poo) regularly. Constipation means having fewer than 3 bowel motions per week and with stools that are hard to pass. If you suffer from constipation, it may be difficult or painful to pass stools, and you may find you need to push or strain. Some people with constipation feel they have not fully emptied their bowels and that even after passing stools, they feel the need to pass more.
Up to 1 in 4 women experience constipation during pregnancy. However, constipation will often resolve itself as pregnancy progresses.
What causes constipation during pregnancy?
Low levels of dietary fibre in your diet can contribute to constipation during pregnancy – as they can at any other time. There are, however, reasons why constipation is more common during pregnancy.
An increase in the pregnancy hormone progesterone can cause your gut to work less efficiently and your food to move more slowly through your intestines. This is known as reduced gastric motility.
Another cause of constipation is the medicines and supplements that some women take during pregnancy. Medicines prescribed for nausea and vomiting, antacids for heartburn, and some strong pain medicines can induce constipation in some women. Supplements like iron and calcium, as well as some multivitamins can also trigger constipation.
If you take any of these during your pregnancy and are troubled by constipation, speak with your doctor about whether a change in the formulation of your medicine or supplement can help. Sometimes a simple change of brands or dose can reduce constipation. However, everyone is different and a formulation that causes constipation for one person might work well for another.
Am I more likely to experience constipation if I had it before pregnancy?
Women who have had constipation before pregnancy are, unfortunately, likely to experience worsening of symptoms during pregnancy.
If you have constipation and are planning a pregnancy, try to get into good habits before you become pregnant. Keeping to a healthy diet, drinking plenty of fluids, and doing regular exercise may help you maintain regular bowel motions.
It is better to prevent constipation early on rather than wait to treat it later.
How is constipation treated during pregnancy?
The first step in treating constipation is to increase the fluids and fibre in your diet. Eating wholegrain foods, fruit and vegetables can often resolve constipation. If symptoms continue, then fibre supplements or laxatives may be a short-term solution – however, it is always better to stimulate the bowel with a healthy diet rather than take medications. Taking laxatives can sometimes result in side effects such as abdominal pain and diarrhoea.
While most cases of constipation are not a sign of illness, sometimes there are complications such as haemorrhoids, faecal impaction or rectal prolapse. In rare cases, constipation can be caused by more serious conditions such as tumours.
Speak with your doctor if you are concerned, and especially if you notice blood in your stools.
Will it affect my baby?
If you’re pregnant, you don’t need to worry that constipation will affect your baby since the discomfort occurs in the mother’s gut and bowels and isn’t passed on to the baby. Most laxatives are not well absorbed into the bloodstream and can be taken during pregnancy and breastfeeding, but always check with your pharmacist before taking a medicine while pregnant.
Will it continue after I’ve had the baby?
There are several reasons why constipation may continue after birth. Women who have had a caesarean often experience constipation for a few days until their regular bowel movements return. Women who have stiches after a vaginal birth may hesitate on the toilet, which can cause a build-up in their bowels.
If you’ve taken strong pain medication after having your baby this may also cause constipation.
New mothers are often busier than usual in the first few weeks and months of motherhood. It may seem like taking care of yourself has become less of a priority, but your health is no less important now than it was during your pregnancy. Be sure to have plenty of fibre-rich fruit, vegetables, and wholegrains as well as increase your fluid intake while breastfeeding to encourage healthy bowel movements, even when you are busy.
Where to get help?
Constipation can vary in severity and if changes to your diet do not help relieve your symptoms, ask your midwife, doctor or pharmacist for guidance on choosing and using a laxative.
Sources:
Australian Government Department of Health (Common conditions during pregnancy: constipation), Better Health Channel (Constipation), The Royal Hospital for Women (Constipation in pregnancy and breastfeeding)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: January 2021
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Constipation During Pregnancy | American Pregnancy Association
Constipation during pregnancy is a common problem and nearly half of all pregnant women get constipated at some point. Constipation occurs when there is abdominal pain or discomfort, difficult and infrequent bowel movements, and the passage of hard stools.
What causes constipation during pregnancy?
In general, worry, anxiety, minimal physical exercise, and a low-fiber diet may cause constipation. Constipation during pregnancy is due to the increase in progesterone hormones that relax the intestinal muscle causing food and waste to move slower through your system.
Sometimes iron tablets may contribute to constipation. Make sure you are drinking plenty of water if you are taking iron supplements. You may need to switch to a different type of iron tablet, but it is important to talk to your health care provider first.
How can I prevent or treat constipation during pregnancy?
Prevention and treatment of constipation involve many of the same steps.
Here are a few things that you can do to help prevent constipation from occurring or treat it if you are already experiencing it:
- Eat a high fiber diet: Ideally, you will consume 25 to 30 grams per day of dietary fiber from fruits, vegetables, breakfast cereals, whole-grain bread, prunes, and bran. This helps ensure bulkier stools that are easier to poop.
- Drink a lot of fluids: Drinking plenty of fluids is important, particularly when increasing fiber intake helps ensure softer stools. Drink 10 to 12 cups of fluids each day. It is the combination of a high fiber diet and plenty of liquids that best help you eliminate your waste. Sweat, hot/humid climates, and exercise may increase your need for additional fluids.
- Exercise routinely: If you are inactive, you have a greater chance of constipation. Walking, swimming and other moderate exercises will help the intestines work by stimulating your bowels. Schedule exercise three times a week for 20-30 minutes each.
- Over-the-counter remedies: There are over-the-counter products such as Metamucil (Category B) which may help soften your bowel movements and reduce constipation. Always speak to your health care provider before using over-the-counter medications.
- Reduce or eliminate iron supplements: Iron supplements may contribute to constipation. Good nutrition can often meet your iron needs during pregnancy. Taking smaller doses of iron throughout the day rather than taking it all at once can reduce constipation. Talk to your health care provider about checking your iron levels and recommendations to manage iron intake during pregnancy. Find natural ways to get iron here.
What remedies should not be used for constipation during pregnancy?
Laxative pills are NOT recommended for the treatment of constipation during pregnancy because they might stimulate uterine contractions and cause dehydration. Talk to your doctor about taking an over-the-counter fiber supplement or a laxative or stool softener.
Mineral oils should NOT be used during pregnancy because they reduce nutrient absorption.
Is constipation during pregnancy ever serious?
Usually not, but occasionally constipation during pregnancy can be a symptom of another problem. If you have severe constipation that’s accompanied by abdominal pain, alternates with diarrhea, or you pass mucus or blood, call your doctor or midwife immediately.
Also, straining during a bowel movement or passing a hard stool can lead to or worsen hemorrhoids, which are swollen veins in the rectal area. Hemorrhoids can be extremely uncomfortable, though they rarely cause serious problems. In most cases, they go away fairly soon after your baby is born. However, if the pain is severe, or if you have rectal bleeding, call your doctor.
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Compiled using information from the following sources:
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MICROLAX® during pregnancy - is it possible to use microclysters for pregnant women
Co-author, editor and medical expert - Klimovich Elina Valerievna.
Views: 116 584
Last update date: 07. 11.10.2022 G.
Average Reading time: 7 minutes
The main symptoms of constipation during pregnancy causes of the constipation during pregnancy
Why is it important to use laxatives in time during pregnancy?
Is MICROLAX ® suitable for pregnant women?
Benefits of using MICROLAX ® during pregnancy
How to use MICROLAX ® during pregnancy?
During pregnancy, many women have difficulty defecation. The constant discomfort associated with stool retention can seriously overshadow the happy waiting time for the baby. Often, the expectant mother does not attach much importance to recurrent constipation or considers them a natural phenomenon that you just need to endure. And some women are forced to put up with discomfort, because they are sure that there are no safe laxatives for pregnant women. However, this is fundamentally wrong. When constipation occurs, it is important to inform the doctor about this problem in a timely manner. The specialist will select a comprehensive treatment and prescribe modern preparations for bowel cleansing with an optimal safety profile, for example, MICROLAX ® .
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The main symptoms of constipation during pregnancy
Constipation in a pregnant woman is indicated by a decrease in the number of bowel movements: bowel cleansing occurs less than 3 times a week. A deviation from the norm is considered to be a delay in feces for more than 2 days. Violation of the frequency of bowel movements is often accompanied by other symptoms. The feces that accumulate in the intestines become hard and dry. Going to the toilet requires a lot of straining. Dense feces can injure the anus, then defecation will be accompanied by pain. In addition, with constipation, a pregnant woman may be disturbed by a feeling of fullness and blockage in the rectum. Often, even going to the toilet does not bring relief: after a bowel movement, there is a feeling that the intestines have not been completely cleansed. Often, constipation is accompanied by flatulence, bloating.
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Causes of constipation during pregnancy
Hormonal changes. In the early stages of pregnancy, the balance of hormones in a woman's body actively changes, in particular, the level of progesterone increases. It reduces the tone of the muscles of the small pelvis: this is important so that the fertilized egg can gain a foothold in the uterus. This action of progesterone also gives a side effect. The hormone slows down the digestive tract and reduces intestinal motility. Very often because of this, constipation occurs in the first trimester of pregnancy.
Decreased physical activity. Many women, having learned that they are expecting a child, give up an active lifestyle and sports. To a certain extent, this is justified, since serious physical exertion can be the cause of miscarriage. As the fetus develops, the outlines of the figure and body weight of the woman change, and for natural reasons it becomes difficult for her to actively move. Hypodynamia leads to a decrease in intestinal tone, which contributes to the development of constipation.
Taking certain drugs. For normal development, the fetus needs vitamins and microelements, so pregnant women are often prescribed medications containing these beneficial substances. Some of these drugs have a fixing property. First of all, these are products with a high content of calcium and iron.
Fluid deficiency in the body. In late pregnancy, many women experience swelling of the face, legs and arms. Because of this, expectant mothers try to drink less during the day and reduce the consumption of juicy fruits and vegetables. Lack of fluid and fiber leads to compaction of feces and difficulty in emptying the intestines.
Pressure from an enlarged uterus. During pregnancy, there is a displacement of the abdominal organs. The uterus takes up more and more space and compresses the surrounding tissues. This can lead to decreased sensitivity and intestinal motility. As a result, constipation occurs. In the later stages, shortly before childbirth, the lowered head of the fetus can also squeeze the intestines.
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Why is it so important to use laxatives during pregnancy?
Constipation can adversely affect the health of the expectant mother and her baby. Violation of the frequency of bowel movements in some cases can cause inflammatory diseases of the female genital organs and an imbalance in the intestinal microflora. The consequences of constipation in the later stages are especially undesirable. A rectum full of feces can increase the tone of the uterus. This, like straining too much during a bowel movement, can provoke premature birth. That is why it is important for a pregnant woman to cleanse the intestines in a timely manner, if necessary, using laxatives approved by the doctor for use.
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Is MICROLAX
® suitable for pregnant women?According to the instructions for medical use, it is allowed to use MICROLAX ® during pregnancy 1 . This modern laxative in the format of a disposable microclyster softens dense fecal masses in the rectum and does not affect other organs of the digestive system and small pelvis. The active components of the drug are practically not absorbed into the systemic circulation and do not cause uterine contractions. MICROLAX ® can be used in any trimester of pregnancy, after consulting a doctor.
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Benefits of using MICROLAX
® during pregnancyEffect of the drug. The effect of MICROLAX ® can begin as early as 5-15 minutes 2 after application, unlike oral medications, which can take effect at the most inopportune moment.
Hygienic packaging. Micro enema MICROLAX ® is intended for single use. It is completely ready for use and does not require preliminary antiseptic treatment.
Easy application. When using MICROLAX ® , a pregnant woman does not need to individually select the dosage. Microclyster contains the optimal amount of the drug for a single use. The flexible applicator tip allows you to safely and conveniently inject the laxative into the rectum.
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How to use MICROLAX
® during pregnancy?- Take the tube and break off the seal on the applicator tip.
- Press down on the container so that a drop of the drug lubricates the tip of the microclyster - this will facilitate its introduction.
- Insert the applicator tip into the entire rectum.
- Squeeze the tube and squeeze out the contents.
- Continuing to lightly squeeze the container, remove the tip.
If you have any questions about using the product, you will find all the necessary information on how to use it in the instructions.
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The information in this article is for reference only and does not replace professional medical advice. For diagnosis and treatment, contact a qualified specialist.
1 There are no adequate and well-controlled studies in pregnant women. Since this drug is likely to be absorbed into the systemic circulation to a small extent, no adverse effects to the fetus are expected when it is used as recommended during pregnancy.
2 In accordance with the instructions for medical use of the laxative MICROLAX ® .
Manifestations of constipation in pregnant women - signs and symptoms
Co-author, editor and medical expert - Klimovich Elina Valerievna.
Number of views: 53 112
Last updated: 10/21/2022
Average read time: 4 minutes
Constipation is a common problem during pregnancy. About 75% of women complain of problems with bowel movements during pregnancy. At the same time, these difficulties remain in about a third of women after childbirth.
Contents:
Detailed description of symptoms
What constipation can cause in a pregnant woman
Our body constantly produces substances that stimulate bowel movements. During pregnancy, the susceptibility of the intestinal muscles to various kinds of irritants is significantly reduced. The change in the intensity of intestinal reactions is due to the fact that it has a common innervation * with the uterus, because of this, any excessive activation of peristalsis can provoke contractile activity of the uterus. This can be a threat to the child. Unfortunately, this defensive reaction has unpleasant consequences - constipation. Often they occur between 17 and 36 weeks of pregnancy.
Clinically, constipation in pregnant women is manifested by several main symptoms:
- stool retention for more than 3 days and problems with passing gases, flatulence;
- unpleasant feeling of incomplete emptying of the bowels;
- the need to strain during bowel movements;
- painful stools;
- "sheep feces" (hard, dry, fragmented feces).
In the event of constipation, you should always seek medical advice, especially if you notice deterioration and pain.
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Detailed description of symptoms
Constipation is characterized by decreased stool frequency. It happens that a pregnant woman manages to empty her intestines only once a week or less. The consistency of feces changes, discomfort and pain in the abdomen (often in its left half), there is a feeling of dissatisfaction after the stool.
Atonic constipation is characterized by very painful defecation, which occurs with great difficulty. Due to microscopic tears of the mucous membrane of the anus, streaks of blood may appear on the surface of the feces. Spasmodic constipation is characterized by fragmented stools ("sheep feces"). This condition is often accompanied by flatulence, a feeling of pressure, expansion, spasmodic pains in the abdomen. With prolonged constipation, there may be a feeling of lethargy, fatigue, a significant decrease in efficiency.
Pain in a pregnant woman occurs for no apparent reason or may be the result of excitement or physical exertion. Attacks of acute pain or exacerbation of constant discomfort, as a rule, are associated with negative emotions. The pain can be of varying strength, for example, in some cases it radiates to the lower back, leg, anus, and even the genitals. In some pregnant women, along with abdominal pain, there is a burning sensation in the rectum and itching in the anus. Nausea, bitterness in the mouth are often noted; passing gases is difficult.
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What can cause constipation in a pregnant woman
Feces in the rectum, which a pregnant woman cannot get rid of for a long time, bring her considerable discomfort. However, these are not the only consequences of constipation.
- The large intestine mucosa has an absorptive capacity; in case of constipation, not only water is absorbed into the blood, but also various toxic metabolic products. Intoxication of the woman and the fetus can lead to negative consequences and disrupt the development of the child in the future.