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Related Experiment Videos

Pregnancy-related constipation.

Charlene M Prather1

  • 1Division of Gastroenterology and Hepatology, Saint Louis University, 3635 Vista Avenue, FDT-9, St. Louis, MO 63110, USA. pratherc@slu.edu

Current Gastroenterology Reports
|September 3, 2004
PubMed
Summary

Pregnancy constipation is common and usually manageable with diet or simple laxatives like fiber supplements and senna. Pharmacologic treatments require careful consideration of potential adverse effects during pregnancy.

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Area of Science:

  • Obstetrics and Gynecology
  • Gastroenterology

Background:

  • Constipation is a frequent issue during pregnancy.
  • Symptoms include infrequent bowel movements, hard stools, and straining.
  • Initial evaluation is often not required for new-onset constipation in pregnancy.

Purpose of the Study:

  • To review the management of constipation in pregnant individuals.
  • To assess the safety and efficacy of various laxative treatments during pregnancy.

Main Methods:

  • Literature review of studies on constipation in pregnancy.
  • Analysis of evidence supporting dietary measures and specific laxatives.
  • Evaluation of laxative safety classifications (Pregnancy Categories B and C).

Main Results:

  • Dietary modifications and fiber supplements are recommended first-line treatments.
  • Senna has supporting evidence for use in pregnancy.
  • Osmotic laxatives may offer benefits for some patients.
  • Short-term use of osmotic or stimulant laxatives is reserved for refractory cases.

Conclusions:

  • Constipation in pregnancy can typically be managed with conservative measures.
  • Pharmacologic interventions should be used cautiously, considering potential risks.
  • Fiber, senna, and short-term osmotic/stimulant laxatives are key therapeutic options.

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