Constipation occurs in up to 38% of pregnant women. For some women constipation develops for the first time during pregnancy while others may have experienced chronic constipation throughout their life, which may worsen as a result of pregnancy.
How does it happen?
Constipation experienced early in pregnancy is most likely caused by rising progesterone levels resulting in reduced motility of the large intestine. As your pregnancy progresses and the uterus grows, the increased pressure on your bowels and rectum can also contribute to constipation. If you have an underactive thyroid this may further increase your susceptibility.
A number of dietary and lifestyle factors can also worsen constipation or a slow moving bowel such as inadequate fibre intake, not drinking enough water, poor dietary choices, stress, and lack of exercise.
Haemorrhoids
Chronic constipation and straining as a result can lead to haemorrhoids which are swollen veins at or near the anus. The increased pressure in the abdomen which occurs in pregnancy may result in haemorrhoids. Symptoms include intermittent bleeding from the anus, itching and occasional pain.
Haemorrhoids are common in pregnancy with a higher incidence of symptoms in pregnant than non-pregnant women. It seems that the risk of experiencing haemorrhoids increases with age and the number of pregnancies you have carried. For many women, symptoms resolve after birth, but it is important that you address any underlying constipation if this is an ongoing issue for you.
Let’s talk about the loo
If your stools are like hard pellets, then you are not properly eliminating your waste. This can result in headaches and digestive symptoms such as bloating and abdominal discomfort.
These tips may help:
References available upon request