In this article:
Why Does Constipation Happen After Childbirth?
The following are the physical and lifestyle factors that can affect bowel movements after delivery.| Cause | How it may contribute |
| Hormonal and physical changes | Hormonal changes after pregnancy may temporarily affect digestion. Reduced physical activity during recovery can also slow bowel movements. |
| Dehydration | Drinking insufficient fluids can make stools harder to pass. Breastfeeding can increase your fluid requirements. |
| Low fibre intake | Eating fewer fruits, vegetables and whole grains may reduce stool bulk and contribute to constipation. |
| Iron supplements and pain medicines | Iron supplements and certain pain medicines, particularly opioid painkillers, can cause or worsen constipation. |
| Stitches, soreness and haemorrhoids | Fear of pain or damaging stitches may lead you to delay bowel movements, allowing stools to become harder. |
However, postponing bowel movements can allow more water to be absorbed from the stools, making them harder and more difficult to pass.
What Can Help Relieve Postpartum Constipation?
According to Dr Swati Rai, paying attention to hydration, diet and bowel habits can help make postpartum recovery more comfortable. You can try the following measures.- Drink adequate fluids: Keep water nearby and drink regularly throughout the day, particularly if you are breastfeeding. Follow any specific fluid advice given by your healthcare professional.
- Increase fibre gradually: Include fruits, vegetables, oats, whole grains, beans and lentils in your meals. Increase fibre gradually and drink enough fluids to help it work effectively.
- Take gentle walks: When your recovery allows, short walks can support normal bowel function. Follow your maternity team's advice about physical activity, particularly after a caesarean birth or complicated delivery.
- Respond to the urge: Try not to postpone a bowel movement. Allow yourself enough time in the toilet without rushing or straining.
- Adjust your toilet position: Resting your feet on a small stool while sitting on the toilet may help you adopt a more comfortable position, with your knees slightly higher than your hips.
- Avoid excessive straining: If you have stitches or haemorrhoids, breathe normally and avoid forceful pushing. If pain or fear is preventing bowel movements, discuss this with your healthcare professional.
When Should You Seek Medical Advice?
Dr Swati Rai recommends paying attention to symptoms that are severe, worsening or accompanied by other changes in your health.| Symptoms | What you should do |
| Persistent constipation despite self-care | Arrange a medical assessment, particularly if passing stools remains difficult. |
| Significant rectal bleeding or worsening pain | Contact your healthcare professional promptly. |
| Severe or persistent abdominal pain | Seek urgent medical assessment. |
| Vomiting or marked abdominal swelling | Seek urgent medical attention, particularly if you cannot pass stools or gas. |
| Inability to pass gas | Seek urgent medical attention, as this may indicate a more serious bowel problem. |
| Heavy rectal bleeding or feeling faint | Seek emergency medical care. |
FAQs on Postpartum Constipation: Why It Happens and What Can Help
- How long does postpartum constipation last?
It varies from person to person. Some women improve within a few days, while others experience constipation for longer, particularly when medicines, dehydration or reduced activity contribute. - Can I take a laxative while breastfeeding?
Some laxatives are considered suitable during breastfeeding, but the right option depends on the medicine and your health circumstances. - Will passing stools damage my stitches after childbirth?
Passing stools normally should not damage healing perineal stitches. However, excessive straining may increase discomfort.