Dealing with constipation can be difficult and the struggle intensifies during pregnancy. The struggle is real and I know it first hand! I have struggled with constipation since I was a teenager. But once I started college, the stress of my daily life exacerbated my symptoms leading to chronic constipation. Once I found out I was pregnant, I knew it was only a matter of time before I experienced the discomfort, pain and bloating again. But I knew that, while this may have been frustrating, I wasn’t alone. Up to 38% of pregnant women experience constipation in the first trimester (Trottier et al., 2012).
This common issue has even earned its own ICD-10 code (used for medical billing), highlighting the need for attention and solutions. Let’s explore the reasons behind pregnancy-related constipation and discover effective ways to manage and relieve it. The Constipation Resource Hub is a great way to access all the information the MotherToBaby experts have for you on this topic, but let’s go over some details first!
Understanding the Causes of Constipation in Pregnancy:
Constipation during pregnancy can be attributed to a number of factors, including an unbalanced diet, insufficient fiber intake, insufficient hydration and lack of physical activity. Hormonal changes, particularly the increase in progesterone, also play an important role. Additionally, medications used to combat nausea and vomiting in pregnancy (NVP) and supplements such as iron and calcium may contribute to constipation.
Navigating treatment options during pregnancy:
While constipation is common during pregnancy, unnecessary suffering is not acceptable. Explore different treatment options, but keep in mind that there is no one-size-fits-all approach. Understanding the complexities of your individual situation is vital.
Dietary adjustments:
- Incorporate 4-5 cups of fresh fruits and vegetables daily.
- Aim for 25-30 grams of fiber daily.
- Stay hydrated by drinking plenty of water.
- Engage in 150 minutes of moderate exercise per week (check with your healthcare provider before starting any new exercise routine during pregnancy).
Drug Considerations:
- Laxatives can be an option, they are drugs used to soften the stool or stimulate the bowel, but it is essential to be informed. Explore our Laxatives Fact Sheet here Here’s a brief description of some of these options:
- Bulking agents (fiber supplements) such as psyllium
- Stimulants and lubricants
Prescription drugs
- Prucalopride (Motegrity®) for the treatment of functional constipation, also known as chronic idiopathic constipation. Read our newsletter here.
Managing underlying conditions that may make constipation worse during pregnancy:
Some people may experience constipation due to underlying conditions such as irritable bowel syndrome (IBS-C) or Functional Constipation (FC). Consult your healthcare provider for proper diagnosis and follow their recommendations. Explore our Functional Constipation newsletter here. .
Stress can make constipation worse, especially for those with IBS-C. Be kind to yourself and explore stress management techniques. Find out more about stress during pregnancy in our newsletter here.
For those who have Gestational Diabetes or predisposition to type 2 diabetes, regulating blood glucose levels is vital. Explore our gestational diabetes blog here.
In conclusion, constipation during pregnancy is a common experience, but you should not endure it without seeking relief. I definitely looked for options that helped me during my pregnancy, as I did, so can you! Open a conversation with your healthcare provider to explore solutions. By making dietary adjustments, staying active, and managing stress, you can deal with constipation more comfortably during this transformative time. For personalized information about medicines or conditions or to volunteer at study on constipation (in pregnancy, reach out to our experts at MotherToBaby—they’re here to answer your questions and provide support throughout your pregnancy journey.
We want to enroll all people who received Motegrity® at any point in their current pregnancy. If you or someone you know has been exposed to this drug, please report the use to our team.
