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Constipation During Pregnancy: Causes, Relief Tips & When to Call a Doctor

15 Mar 2025
Constipation During Pregnancy Causes, Relief Tips & When to Call a Doctor
Constipation is a common pregnancy symptom, affecting nearly 50% of moms-to-be. If you’re feeling bloated, backed up, or struggling with slow digestion, you’re not alone! The good news? Pregnancy constipation is manageable, and with the right steps, you can find relief naturally and safely. Let’s explore why it happens, how to prevent it, and doctor-approved remedies to keep things moving!

Why Does Pregnancy Cause Constipation?

Several pregnancy-related changes can slow digestion and make bowel movements more difficult:

1. Increased Progesterone

  • Pregnancy hormones relax the muscles of your digestive tract, making food move more slowly.

2. Growing Uterus

  • As your baby grows, your uterus presses on your intestines, which can slow bowel movements.

3. Iron Supplements

  • Prenatal vitamins with iron are important but can also cause hard, dry stools.

4. Dehydration & Low Fiber Intake

  • Not drinking enough water or eating enough fiber can contribute to constipation.

5. Less Physical Activity

  • Fatigue and morning sickness may cause you to move less, leading to slower digestion.
Good news: With small changes in diet, hydration, and movement, you can prevent and relieve constipation naturally!

8 Natural Ways to Relieve Pregnancy Constipation

1. Eat More Fiber-Rich Foods

Fiber adds bulk to your stool, making it easier to pass. Best high-fiber foods for pregnancy:
  • Fruits: Apples, pears, bananas, berries, prunes.
  • Vegetables: Broccoli, spinach, carrots, sweet potatoes.
  • Whole grains: Oatmeal, quinoa, brown rice, whole wheat bread.
  • Legumes: Lentils, chickpeas, black beans.
Tip: Aim for 25-30 grams of fiber per day for smoother digestion!

2. Drink Plenty of Water

Hydration softens stool and helps fiber work more effectively. Try to drink 8-12 cups (64-96 oz) of water daily.
Warm liquids, like herbal tea or warm lemon water, can help stimulate digestion. Tip: If water is unappealing, try coconut water, diluted fruit juice, or homemade smoothies.

3. Stay Active with Gentle Movement

Exercise stimulates the intestines and improves digestion. Try walking, prenatal yoga, swimming, or stretching for 20-30 minutes per day.
Even gentle movement after meals can help! Tip: If you’re feeling sluggish, a short 5-10 minute walk can help get things moving.

4. Eat Small, Frequent Meals

Smaller portions prevent your digestive system from becoming overwhelmed.
Avoid heavy, greasy foods, which can slow digestion. Tip: Instead of 3 big meals, try 5-6 small meals throughout the day.

5. Try Pregnancy-Safe Natural Remedies

  • Prune juice or dried prunes – A natural laxative full of fiber.
  • Flaxseeds or chia seeds – High in fiber and omega-3s.
  • Probiotic-rich foods – Yogurt, kefir, and sauerkraut support gut health.
Tip: Add 1 tbsp of flaxseeds to oatmeal or yogurt for extra fiber!

6. Take a Stool Softener (If Needed)

Docusate sodium (Colace) – Safe for pregnancy and helps soften stools. Avoid stimulant laxatives (Ex-Lax, castor oil, senna) – They can cause uterine contractions. Tip: Always check with your doctor before taking any medication or supplement!

7. Adjust Your Prenatal Vitamins

Some prenatal vitamins have lower iron or gentler forms of iron, which may reduce constipation.
Ask your doctor about switching to a different brand if your vitamin is making constipation worse.

8. Use Proper Bathroom Habits 

Don’t hold it in! Go to the bathroom as soon as you feel the urge.
Try a squat position – Use a small stool under your feet to mimic a squatting posture, which helps stools pass more easily.

When to Call Your Doctor

While pregnancy constipation is common, seek medical advice if you experience: Severe constipation (more than 3-4 days with no bowel movement).
Painful straining or hard stools that cause bleeding.
Severe bloating, vomiting, or cramping.
Hemorrhoids that are painful or bleeding excessively. Your doctor may recommend safe medications or further evaluation if constipation becomes severe.  

Final Thoughts: You Can Get Relief!

Constipation during pregnancy can be frustrating, but with hydration, fiber, gentle movement, and safe remedies, you can keep digestion smooth and comfortable. Stay patient with your body, make small daily changes, and remember—you’re doing an amazing job!
Content Reviewed by Dr V. profile picture

Content Reviewed by Dr V.

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Dr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.

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