Constipation during pregnancy affects up to one in two pregnant women, depending on the stage of pregnancy. Although common, this digestive disorder is uncomfortable and often raises questions about the best treatment options when expecting a child.
Here's why constipation during pregnancy is so common, and what natural remedies you can try—always in consultation with your midwife or doctor.
Why is constipation so common during pregnancy?
Several mechanisms specific to pregnancy can explain the onset or worsening of constipation:
- Progesterone, which relaxes smooth muscles—including those in the intestines—thereby slowing down digestion
- The uterus, which grows larger and puts pressure on the colon
- Iron supplementation, which is often prescribed during pregnancy, is known to cause constipation
- Reduced physical activity, especially during the final stages of pregnancy
- Hydration that is sometimes insufficient
These factors often occur together, which explains why constipation during pregnancy generally worsens in the second and third trimesters.
Natural measures that should be prioritized
Before considering treatment, a few simple changes are often enough to relieve constipation during pregnancy:
- Drink about 1.5 to 2 liters of water a day, spreading out your intake throughout the day
- Gradually increase your intake of dietary fiber, fruits, vegetables, and whole grains
- Walk regularly, as your pregnancy allows
- Adopt a semi-seated position with your legs elevated when using the restroom
- Spread out your meals into several smaller, lighter meals throughout the day
These measures have the advantage of being risk-free and often effective within a few days. They are the recommended first line of defense before resorting to any supplements or treatments.
Which foods should you choose?
Certain foods are particularly helpful for promoting regular bowel movements during pregnancy, without posing any risk to the expectant mother:
- Fiber-rich fruits, such as prunes, pears, or kiwis
- Legumes—lentils and chickpeas—in gradually increasing amounts
- Whole grains, whole-wheat bread, oats, brown rice
- Yogurt and fermented foods to support the gut microbiota
We provided a more comprehensive list of foods that help relieve constipation in our article “The Best Anti-Constipation Foods to Include in Your Diet,” which remains generally applicable during pregnancy.
Which plants should you avoid during pregnancy?
Not all herbal laxatives are suitable for use during pregnancy. Stimulant laxatives such as senna or cascara are generally not recommended without medical advice, as they can cause uterine contractions at certain doses. That is why it is essential to consult your midwife, doctor, or pharmacist before taking any herbal supplement during pregnancy, including Digestic.
On the other hand, some milder herbs, such as fennel tea, are commonly used during pregnancy to relieve bloating—always in moderation and after consulting a healthcare professional.
The Connection Between Hemorrhoids and Pregnancy
Constipation during pregnancy often contributes to the development of hemorrhoids, due to repeated straining and increased pressure on the veins in the pelvis. Preventing constipation at the first signs can therefore also help limit this common discomfort in the later stages of pregnancy. Avoiding sitting for too long and straining while using the restroom are simple steps that help reduce this risk.
Appropriate physical activity
Walking remains one of the most recommended activities during pregnancy to stimulate digestion, along with swimming or prenatal yoga, depending on your preferences and your healthcare provider’s advice. About 20 minutes a day is usually enough to see a benefit, without the need for intense exercise.
When should you see a doctor for constipation during pregnancy?
It is recommended that you seek medical advice if constipation persists for more than a week despite natural remedies, if it is accompanied by severe abdominal pain or bleeding, or if it occurs along with vomiting. These symptoms require prompt medical attention to rule out any other causes; your midwife or doctor is best suited to assess the situation.
Frequently Asked Questions
Is constipation during pregnancy dangerous for the baby?
No, in the vast majority of cases, constipation during pregnancy has no direct impact on the baby’s development. It is, however, uncomfortable for the expectant mother and should be treated, particularly to prevent hemorrhoids, which it can sometimes cause.
Can you take a mild laxative without a prescription?
Some mild laxatives—whether fiber-based or osmotic—are generally safe to use during pregnancy, but every situation is different. The safest approach is to consult your pharmacist or midwife before taking any medication, even if it’s available over the counter.
Does constipation during pregnancy go away after giving birth?
In most cases, bowel movements gradually return to normal in the weeks following childbirth, as hormone levels return to normal. However, some women may still experience temporary postpartum constipation—particularly after a cesarean section or if they have stitches—and may benefit from the same natural remedies described above.
In summary
Constipation during pregnancy is largely due to normal hormonal and physical changes, but it can often be relieved by staying hydrated, eating fiber, and engaging in appropriate physical activity. When it comes to supplements or herbal remedies, it’s always best to consult your healthcare provider to ensure the solutions are tailored to your situation.