Constipation During Pregnancy: Safe Ways to Get Relief

Why constipation is common in pregnancy

Pregnancy hormones can slow movement through the digestive system, so stools become harder or less frequent. Changes in diet, reduced activity, nausea, dehydration and iron supplements may add to the problem. Constipation can mean straining, hard stools, a feeling that you have not fully emptied your bowel or going less often than is normal for you.

Increase fibre gradually

Choose wholegrain bread and cereals, oats, fruit, vegetables, beans, lentils, nuts and seeds. Increase fibre over several days rather than all at once to limit gas and bloating. Fibre works best with enough fluid, so spread water and other suitable drinks through the day. A regular time on the toilet after a meal may also help your natural bowel reflex.

Movement and toilet habits that may help

Regular pregnancy-appropriate activity can support bowel movement. Walking is a simple option if your maternity team has not advised you to restrict activity. Go when you feel the urge rather than delaying, give yourself time and avoid prolonged straining. A small footstool can raise your knees and create a more comfortable position.

Review iron without stopping it yourself

Iron supplements can contribute to constipation, but they may be important for treating or preventing anaemia. Do not stop them on your own. Ask your doctor or midwife whether the dose, formulation or timing could be changed. They can also check whether another medicine, supplement or health condition may be contributing.

When lifestyle changes are not enough

Ask a pharmacist, midwife or doctor before using a laxative, enema, herbal remedy or supplement. NHS medicines guidance uses a stepwise approach when treatment is needed, often starting with a bulk-forming laxative and considering osmotic options such as lactulose or macrogol. The best choice depends on your symptoms and health, so follow individual instructions and do not exceed the recommended dose.