Constipation during pregnancy

Constipation during pregnancy: A delicate problem and its solution

Constipation is another common and very delicate symptom that many expectant mothers encounter. It can occur at any stage, but most often affects the first and third trimesters. It not only causes physical discomfort but can also lead to the development or worsening of hemorrhoids. Understanding the causes of this condition will help fight it effectively.

Physiology of constipation in pregnant women

As with many other "quirks" of pregnancy, hormones and physical changes play the main role here:

• Progesterone: This hormone relaxes smooth muscle, including the intestinal muscles. As a result, peristalsis (wave-like contractions that move food) slows down. Food stays longer in the digestive tract, allowing the body to absorb more nutrients, but at the same time leads to densification of stool masses.
• Uterine pressure: In the third trimester, the enlarged uterus exerts significant pressure on the rectum, mechanically complicating the defecation process.
• Iron supplements: Many prenatal vitamins contain iron, which is necessary for anemia prevention, but can have constipation as a side effect.
• Lifestyle changes: Reduced physical activity and insufficient fluid intake due to nausea can also contribute to the problem.

Impact on the body and the importance of prevention

Although constipation itself does not harm the baby, it can significantly worsen the mother's well‑being. Constant straining during defecation can lead to hemorrhoids, anal fissures, and cause abdominal pain. Therefore, prevention is extremely important.

The basis of prevention is proper balanced nutrition, rich in fiber, adequate fluid intake, and regular physical activity. It is important not to ignore the urge to defecate and not to be embarrassed to discuss this issue with your doctor, who can recommend safe laxatives for pregnant women if diet and lifestyle do not help.