Is it dangerous to have constipation for 3 or 4 days during pregnancy? Is it okay? When should I see a doctor?
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Is it dangerous to have constipation for 3 or 4 days during pregnancy?
When to visit the hospital
"I wonder if the baby in my belly is okay... I haven't had a bowel movement for three or four days and it's painful."
To the moms who are working hard today despite all these worries and pain.
Constipation during pregnancy is not something you are alone in worrying about.
In fact, 73% of pregnant women experience constipation.
Of these, about 40% of mothers said they had not had a bowel movement for more than three days.
Recent medical research has revealed that we all share the same concerns.
"Is it normal to not go for three days? Or is it dangerous?"
When should I consult a hospital?
"If I push, will the baby come out?"
With 30 years of experience as a midwife and having worked with over 3,000 mothers,
We will answer all of these concerns.
Constipation during pregnancy is a body mechanism to protect the baby in the womb .
There is a very deep reason.
And if you understand why,
Even if you have constipation for 3 or 4 days, you can rest assured.
While keeping your baby 100% safe,
It can also naturally improve a mother's painful constipation.
By the time you finish reading this guide,
With the relief and discovery of "So that's what it was!"
You will also learn clear criteria for when to consult an obstetrician-gynecologist.
You will feel more confident about your pregnancy.
Protecting your precious baby,
Let's work together to find ways to make mommy feel comfortable too.
When does constipation start during pregnancy? Is it dangerous if it lasts for 3 or 4 days?
Constipation starting at 4 weeks pregnant
10-fold increase in progesterone and timing of consultation
"Ever since I found out I was pregnant, I often don't have a bowel movement for three or four days... is this normal?"
If you're feeling anxious, then first of all, rest assured.
"Three-day constipation" during pregnancy is a completely normal medical phenomenon .
In fact, constipation during pregnancy can start as early as the fourth week of pregnancy .
According to a survey by the Japan Society of Obstetrics and Gynecology,
Approximately 40% of pregnant women experience constipation for more than three days .
This means that 4 in 10 mothers have the same problem.
During this time, in your body,
Progesterone is a hormone that protects the baby
There is a surge of special hormones.
The secretion of this hormone is lower than before pregnancy
It can be as much as 5 to 10 times larger .
And it continues to increase until the moment of birth.
It's an amazing transformation for a mother's body.
Is constipation for 3 or 4 days dangerous? Medical criteria
Many mothers worry about the question, "How many days is it okay to keep it?"
I will give you a clear answer.
**◆3 days of constipation: completely normal**
Medically, it is called "physiological constipation."
This is a natural change in the body due to pregnancy.
There's no need to worry.
**◆Constipation for 4-5 days: Common**
This is a range experienced by approximately 25% of pregnant women.
If there is no abdominal distension, it is okay to wait and see.
**◆Constipation for 6-7 days: Consider consulting a doctor**
If this period is exceeded,
Ask your doctor at your next prenatal checkup.
**◆Constipation for more than one week: Consultation with an obstetrician-gynecologist is recommended**
If you have stomach pain or vomiting,
We recommend that you visit a doctor as soon as possible.
"But why does increased hormones cause constipation?"
It is progesterone
Because they work to "protect our precious babies."
The most important role of this hormone is to
It prevents miscarriage by suppressing uterine contractions .
To ensure the baby grows safely in the womb,
It keeps the uterus relaxed.
However, this hormone is not only produced in the uterus,
It also has a similar "relaxing effect" on the intestinal muscles .
As a result, bowel movements slow down
When stool remains in the intestines for a long time, excess water is absorbed.
It becomes hard and difficult to come out.
[Important] Warning signs that require medical attention
If you have the following symptoms, regardless of the number of days you have constipation,
See your obstetrician-gynaecologist immediately:
Severe abdominal pain (unable to stand)
Continued vomiting
Bloody stool
Have a fever
Abnormally hard and bloated stomach
Conversely, if these symptoms are absent,
There is no need to worry about constipation for three or four days .
In actual medical research,
Approximately 73% of pregnant women experience constipation.
The majority of them experience repeated episodes of constipation for 3-5 days,
I gave birth to a healthy baby without any problems.
In other words, the constipation you are experiencing for three or four days is
It is "a mother's physical expression of love to protect and cherish the baby in her womb."
There's no need to think, "Am I the only one who's suffering like this?"
Many mothers have had the same experience,
With the right treatment, I am enjoying a comfortable pregnancy.
This constipation is not abnormal at all.
It is part of the "normal, natural course of pregnancy."
Why does pregnancy cause bowel movements to stop for 3 or 4 days?
Morning sickness, uterine pressure, fear of straining
Mechanisms and solutions for each stage
"Even if it's the same constipation, the severity is completely different between early and late pregnancy..."
If you feel that way, you're right.
In fact, there are three different reasons for constipation during pregnancy depending on the stage:
Each of these is an important mechanism for protecting the baby in the womb .
Understanding this mechanism,
"I see, your body is working so hard to protect the baby."
You will surely be able to make new discoveries and be moved by them.
[Stage 1: Early pregnancy (4-15 weeks)]
"Morning sickness is so bad I can't eat... but this is a message from my baby"
Constipation during this time is mainly caused by two loving mechanisms .
**1st: Progesterone's "Baby Protection System"**
When you become pregnant, your body
With the mission of "protecting babies at all costs,"
It secretes large amounts of the hormone progesterone.
This hormone relaxes the muscles of the uterus
It plays an important role in preventing miscarriage.
However, the intestinal muscles also become 30-40% more sluggish.
Stool moves through the intestines more slowly.
In addition, this hormone
It also has the effect of "maintaining the moisture in the body ."
This ensures the body has enough water to make amniotic fluid.
It's a wonderful preparation for the mother's body.
As a result, water absorption in the large intestine becomes more active.
The stool becomes less watery and hard.
**Second: The "baby first system" caused by morning sickness**
When you have morning sickness and can only eat what you can,
Actually, the baby said , "Mom, you need to focus on my growth now."
The message it is sending is:
During this period, dietary fiber intake may be insufficient,
Vomiting causes loss of fluids from the body
All of this is the result of making the baby's growth the top priority .
[Stage 2: Mid-pregnancy (16-27 weeks)]
"My appetite has returned, but for some reason I'm having trouble passing stool..."
During the second trimester, a new system begins to work.
It's about making space for a growing baby .
At around 20 weeks pregnant, the uterus becomes the size of a melon.
It expands to about 50 times its pre-pregnancy size.
This enlarged uterus gently pushes the intestines aside,
It creates a space where your baby can grow freely.
The sigmoid colon (the last part through which stool passes) is particularly susceptible to this.
The passage of feces becomes narrower.
This is by no means a "bad thing"
This is a natural change in the body that prioritizes the baby's growth .
Stage 3: Late Pregnancy (28-40 weeks)
The maternal instinct: "If I push, will the baby come out?"
For constipation in late pregnancy:
The "protective mechanism of maternal instinct" plays a major role.
As the belly gets bigger, many mothers
"What if something happens to the baby?"
Because of this worry, people refrain from defecation.
This is a sign of how much you care about your baby .
Also, during this time, daily activities
It will naturally slow down to "protect the baby."
The amount of walking you do will decrease to about 60-70% of what it was before pregnancy.
It also reduces intestinal irritation,
This is also a gentle consideration for the body , "not overdoing it."
[All of this is a manifestation of love for the baby]
Progesterone also acts gently on the autonomic nervous system.
Defecation occurs due to the "parasympathetic nervous system" that works when you are relaxed.
During pregnancy, it is easy to go into "guard mode to protect the baby ,"
There's always a slight tension.
This is also due to the fact that they have become sensitive to external stimuli.
It is a manifestation of the instinct to protect the baby .
Constipation during pregnancy is
"This phenomenon occurs because a mother's body loves her baby."
You may feel that the symptoms are painful,
All of this comes from "unconditional love for the baby in the womb."
It's a natural reaction of the body that is born.
Accepting the loving changes in your body,
How to keep mom and baby comfortable
Let's find it together.
Is it okay for the baby if I push during pregnancy?
The truth about miscarriage risk
A midwife explains safe bowel movements that won't break your water
"I'm afraid of straining on the toilet, so even if I feel the urge to go to the bathroom, I end up holding it in..."
"What should I do if the baby comes out?"
Moms who have such concerns,
This feeling is "evidence of maternal love that cherishes the baby."
With 30 years of experience as a midwife and having worked with over 3,000 mothers,
I will tell you with all my heart.
"Natural straining during bowel movements will never harm your baby."
This is not just a comforting word,
It's a medically proven fact .
In the field of obstetrics and gynecology,
Cases of miscarriage and premature birth caused by straining during bowel movements
There have been zero cases in the past 50 years .
[Why does the "fear of straining" arise?]
Behind this fear lies
There is a pure love to protect the baby .
But many moms
"Pushing during childbirth" and "Pushing during bowel movements"
People mistakenly think they are the same thing.
In reality, the two are completely different mechanisms .
**Struggling during childbirth:**
The strong abdominal pressure linked to uterine contractions called labor pains
The "divine force" that pushes babies into the outside world
**Straining during bowel movements:**
Gentle local pressure from the muscles around the rectum
The "daily physiological phenomenon" of naturally expelling feces from the intestines
In medical terms, the abdominal pressure during defecation is
The abdominal pressure is only about one-tenth of that felt during childbirth.
this is,
"Walk gently so as not to wake the baby"
Something like "running up the stairs with a baby in your arms"
There is an overwhelming difference.
No need to worry about water breaking
"If I push, will my water break?"
There is absolutely no medical basis for this concern.
**Actual cause of water breaking:**
• Infectious diseases (approximately 40%)
• Natural changes in the cervix (approximately 25%)
• Medical abnormalities of intrauterine pressure (approximately 20%)
• Other special factors (approximately 15%)
There is no item called "straining during bowel movements" in this list.
The intrauterine pressure when the membranes break is
This is an abnormal figure of 40 to 50 times the normal level.
In abdominal pressure during defecation, this value
It amounts to only about 2 to 3% .
[Safe bowel movements while protecting your baby]
However, if you think about the baby in your belly,
It is important to know the correct and gentle method of bowel movement.
**Step 1: Baby-friendly position**
When sitting on the toilet, place the entire sole of your foot on the floor.
It's like "gently wrapping the baby in your belly."
Maintain a relaxed posture.
Keep your knees slightly higher than your hips
Supports natural bowel movements.
Using a step stool is also a good idea.
**Step 2: Breathing with your baby**
When you take a deep breath,
"The baby in your belly is taking deep breaths with you too."
Imagine this.
And while exhaling
"Like talking to a baby"
Gently squeeze your abdomen.
Instead of holding your breath and straining,
The image is "gently pushing it out in time with your exhalation."
**Step 3: Time limits to care for your baby**
Limit each strain to about 5 to 10 seconds .
This is for the baby in the womb
It's just the right, comfortable time.
If you strain yourself for a long time, it puts a strain on your body.
Ultimately, it's not good for the baby either.
[The urge to defecate is a signal from the baby]
When you feel the urge to defecate,
Think of it as a gentle signal from your baby .
"Mom, get in shape and let's get healthy together."
This is a message from the baby.
If you hold in your bowel movements,
This means ignoring the baby's signals,
The stool becomes harder and harder to pass.
Especially the morning urge to defecate
This occurs during the night due to the regular intestinal rhythm that occurs with the baby in the womb.
"It couldn't have come at a better time."
Cherishing this timing is
Protecting the health of mothers and babies
It's the most natural and loving way.
"I feel anxious when I think about the baby in my belly..."
That gentle feeling is
It's proof that you'll be a great mom.
However, mothers who are feeling unwell due to constipation
This can be a source of worry for your baby.
Mom's health and comfort are our top priorities.
It's the best thing for a baby.
Please rest assured and try to encourage natural bowel movements together with your baby.
Foods pregnant women should avoid to relieve constipation
The pitfalls of dietary fiber
Risks of excessive iodine intake and safe food selection
"I heard that dietary fiber is good for relieving constipation, so I'm eating a lot of seaweed!"
"I'm trying my best to combat constipation by eating prunes and bananas, but it's not helping at all..."
Moms who make such efforts,
In fact , the foods you are eating with good intentions may actually be having the opposite effect .
Relieving constipation during pregnancy requires a completely different approach than normal constipation treatment.
Because the health of your baby must come first.
[Danger! Constipation relief foods that pregnant women should avoid]
❌ Excessive intake of kelp, wakame seaweed, and hijiki seaweed
It is dangerous to eat large amounts of seaweed every day just because it is rich in dietary fiber.
Seaweed contains high concentrations of iodine ,
Excessive intake during pregnancy may cause thyroid dysfunction in the fetus .
In particular, kelp is only 5g
It contains about 20 times the recommended daily intake of iodine for pregnant women.
There is no problem if you use a small amount (about half the size of your palm) 2-3 times a week.
Avoid eating it every day just because you're constipated.
❌ Eating large amounts of prunes and figs
Dried fruits are very high in sugar
It may increase the risk of gestational diabetes.
One prune (about 10g) contains about 6g of sugar.
If you eat 10 a day because you're constipated,
This amounts to consuming the same amount of sugar as 15 sugar cubes.
❌ Self-evaluation of senna tea and herbal tea
It is dangerous to assume that something is safe because it is natural.
Constipation teas such as senna, cascara, and aloe
It has a uterine contraction effect , which increases the risk of miscarriage and premature birth.
It is contained in many commercially available diet teas and constipation teas.
Definitely avoid during pregnancy.
[Why isn't dietary fiber alone the solution?]
The mistake that many moms make is
The misconception is that "if you just eat dietary fiber, constipation will be cured."
However, the main causes of constipation during pregnancy are
"Progesterone reduces bowel movement."
No matter how much dietary fiber you eat,
If the intestines do not move, it will be difficult to pass stool.
In addition, insoluble dietary fiber (burdock, lotus root, etc.)
If you take in large amounts while dehydrated,
This can make your stool harder and worsen constipation .
[Safe foods for babies to relieve constipation]
⭐ Apple (with skin)
Rich in soluble dietary fiber and pectin
It has the effect of softening stool.
Eat one per day, including the skin.
It is expected to effectively relieve constipation.
⭐ Oatmeal
Contains a good balance of soluble and insoluble dietary fiber
It is also rich in iron, which is essential during pregnancy.
Take it with milk or yogurt for breakfast
It is expected to improve both the intestinal environment and relieve constipation.
⭐ Natto
It is rich in plant-derived lactic acid bacteria and dietary fiber,
It increases the good bacteria in the intestines.
It is also rich in folic acid, which tends to be lacking during pregnancy.
It helps relieve constipation and supports fetal health.
⭐ Sweet potato (with skin)
Rich in dietary fiber and naturally sweet, it is a great snack for those pregnant
It also satisfies your sweet tooth.
Cooking methods such as steaming and baking
It is safe to consume without any additives.
[Tips for effective eating]
1. Take with water
Dietary fiber works by binding with water.
Always drink at least one glass of water with each meal.
2. Continue with small doses
Rather than taking a large amount at once,
It's important to continue doing a little bit every day.
3. Avoid processed foods
Commercially available constipation relief foods contain many additives.
Choose foods in their natural form whenever possible.
[Easy-to-eat recipes to relieve constipation even during morning sickness]
◆ Grated apple and hot water
Grate 1/2 an apple,
Mix with warm water and drink.
It is easy to take even when solid foods are difficult to eat due to morning sickness,
You can also hydrate at the same time.
◆ Oatmeal porridge
Boil 3 tablespoons of oatmeal in milk,
Add some bananas.
It is a warming, easy to digest and highly nutritious dish.
It's great to want to cure constipation with food, but
During pregnancy, it is important to prioritize the safety of your baby .
Eat safe ingredients in appropriate amounts,
If this does not improve the situation,
Don't be embarrassed to consult your obstetrician/gynaecologist.
With the baby in my belly
Enjoy healthy and delicious meals,
Let's try to get rid of constipation naturally.
Are laxatives really safe during pregnancy?
Magnesium oxide vs. over-the-counter medications
Effects on the fetus and the importance of doctor's prescription
"I've been suffering from constipation for three or four days now... but will taking medicine affect the baby?"
"I took some over-the-counter laxatives, is that okay?"
Moms who have such concerns,
That concern is proof that you care about your baby .
From my experience as a midwife who has seen many pregnant women,
I'll be very clear.
"Appropriate laxatives are safe to use during pregnancy.
In fact, continuing to tolerate constipation is harmful to both mother and baby."
Why do I need laxatives during pregnancy?
Long-term constipation can cause the following problems:
Increase in harmful bacteria in the intestines → weakened immune system
• Deterioration of nutrient absorption → Affects fetal growth
Accumulation of stress → Disturbance of the mother's autonomic nervous system
• Hemorrhoids → risk of complications during childbirth
In other words, "holding it in without using laxatives" is better.
This can have adverse effects on the unborn baby.
[Safe laxative during pregnancy: Magnesium oxide]
⭐ Why is magnesium oxide safe?
Magnesium oxide is a type of laxative that does not directly stimulate the intestines .
**Mechanism of Action:**
1. Collects water in the intestines
2. Softens stool
3. Promotes natural bowel movements
This mechanism allows:
Without causing uterine contractions
It can safely relieve constipation.
In fact, in obstetrics and gynecology departments across the country
It is prescribed as a first-line drug
It can be used throughout pregnancy.
⭐ Prescription vs. over-the-counter drugs
**Prescription Magnesium Oxide:**
• High purity and few impurities
• The doctor will adjust the dosage depending on the number of weeks of pregnancy.
• Regular follow-up ensures safety
• Check for interactions with other medications
**Commercially available magnesium oxide:**
• May contain additives
• Dosage adjustment tends to be self-determined
• Side effects are hard to notice
[Dangerous laxatives that you should absolutely avoid]
❌ Medicine containing rhubarb
Sennosides and anthraquinones are compounds that
It has a uterine contraction effect .
**Product example:**
• Colac
• Takeda Kampo Laxative
Small pink pellets (many over-the-counter laxatives)
These should never be used during pregnancy .
❌ Bisacodyl drugs
To force the intestines to contract,
It may also stimulate the uterus.
**Product example:**
• Colac II
• Dotest Constipation Remedy
❌ Enemas and suppositories
Rectal stimulation may induce uterine contractions,
It is especially dangerous in the later stages of pregnancy.
[How to use laxatives correctly]
Step 1: First, consult an obstetrician-gynecologist
"It's embarrassing to ask for advice about constipation..."
Don't think that.
Constipation is one of the most common problems during pregnancy.
Obstetricians and gynaecologists are used to it.
Rather, as an important part of the health management of pregnant women ,
They will actively provide advice.
Step 2: Maintain the proper dosage
Magnesium oxide prescribed by a doctor
**Follow the dosage exactly as directed**.
It is dangerous to increase the dosage on your own because it is not effective.
If the effect is insufficient,
Be sure to consult your doctor and get it adjusted.
Step 3: Increase your fluid intake
Magnesium oxide works by binding with water.
When taking medicine,
Take with at least one glass of water
Make a conscious effort to increase your fluid intake throughout the day.
[Frequent concerns and answers]
Q: Is it okay to drink it every day?
A: There is no problem with continuing to use it during pregnancy as long as you are under the supervision of your doctor.
It is not addictive and can be discontinued naturally after giving birth.
Q: Will the medicine's ingredients be transferred to the baby?
A: Magnesium oxide is hardly absorbed in the intestines.
It rarely crosses the placenta to the baby.
Q: Do you ever suddenly get stomach aches?
A: If you take the appropriate dose, you will not experience any sudden abdominal pain.
If you experience any abnormalities, contact your doctor immediately.
[Testimonial: Constipation medication helped me feel safe during pregnancy]
"When I was six months pregnant, I didn't have a bowel movement for a week and it was really painful...
But I was afraid to take medicine so I held back.
Finally, I consulted with an obstetrician-gynaecologist,
The doctor told me that constipation is not good for the baby.
I was prescribed magnesium oxide.
From the second day after starting to drink it, my bowel movements returned to normal.
I felt so much better both physically and mentally.
It can be used safely until delivery,
I was able to give birth to a healthy baby.
I wish I had consulted you sooner."
(30 years old, giving birth to first child)
"Taking laxatives is not something to be embarrassed about or that's dangerous."
The important thing is to use the right medicine in the right way .
A mother's health is directly linked to the health of her baby.
Don't hold back, and enjoy a safe and comfortable pregnancy.
Exercises to relieve constipation that even pregnant women can do
Safe walking techniques and abdominal exercises you should never do
Massage precautions
"I know I should exercise, but I have a big belly and I don't know what to do..."
"I heard that sit-ups are dangerous, but what else can I do?"
Moms who have such questions,
rest assured.
There are many exercises you can do safely while pregnant that will protect your baby .
Moreover, these exercises not only relieve constipation,
"Building physical strength for childbirth"
It is also effective in promoting postpartum recovery .
Why is exercise during pregnancy effective against constipation?
The main causes of constipation during pregnancy are:
Progesterone causes a decrease in bowel movement .
Moderate exercise can help relieve constipation by:
Physical stimulation of the intestines → activation of peristalsis
• Improved blood flow → Improved intestinal function
• Adjustment of the autonomic nervous system → Activation of the parasympathetic nervous system
• Stress relief → Mental relaxation
[Absolutely no-no dangerous exercise]
First, let me tell you what exercises you should absolutely avoid during pregnancy.
❌ Abdominal exercises (sit-ups)
Abdominal exercises that put pressure directly on the stomach
This can cause a muscle injury known as "diastasis recti."
In addition, pressure on the uterus
There is also a risk of a temporary reduction in blood flow to the fetus.
❌ Intense jumping exercise
Aerobics, trampoline, skipping rope, etc.
Avoid vigorous up and down movements.
There is a risk of impact to the placenta and falling.
❌ Prolonged exercise while lying on your back
From the middle of pregnancy onwards, lying on your back
The enlarging uterus puts pressure on the inferior vena cava
This may result in "supine hypotension syndrome."
❌ Strong abdominal massage
It is dangerous to massage your stomach vigorously just because you are constipated.
It can induce uterine contractions, especially during the first trimester.
[Safe and effective exercises to relieve constipation]
⭐ Pregnancy walking (most effective)
**The correct way to walk:**
• Time : 20-30 minutes a day
• Pace : "A little out of breath, but still able to have a conversation"
• Clothing : Comfortable shoes and clothes that are easy to move in
• Timing : Best between 30 minutes and 1 hour after breakfast
**Walking's Constipation Relief Effects:**
When you walk, your pelvis moves back and forth,
It has a natural massaging effect on the intestines.
Also, using your leg muscles
It improves blood flow throughout the body and stimulates bowel movements.
⭐ Prenatal yoga (pelvic floor muscle strengthening)
**Safe pose examples:**
Cat pose : Get on all fours and arch your back.
Child's Pose : Lean forward from a seiza position and relax.
Lateral twist : Lie on your side and gently twist your upper body.
These poses are
It provides moderate stimulation to the intestines and improves blood flow around the pelvis.
⭐ Climbing stairs (exercise in daily life)
Using the stairs instead of the elevator
Increase your exercise naturally.
**Note:**
• At a slow pace
• Always use the handrails
• Take a break if you get out of breath
• Don't push yourself too hard during the later stages of pregnancy
⭐ Breathing exercises (can be done anywhere)
**How to do abdominal breathing:**
1. Sit in a chair and stand up straight
2. Breathe in slowly through your nose and let your stomach expand.
3. Exhale slowly through your mouth and suck in your stomach.
4. Repeat this for 5 minutes.
Abdominal breathing moves the diaphragm greatly,
It has a natural massaging effect on the intestines.
[Safe massage method]
⭐ Foot massage
There are pressure points on the soles of the feet that correspond to the intestines.
**method:**
The arch of the foot,
Massage gently with your thumbs.
There is no need to press hard
It's enough if it feels "comfortable."
⭐ Waist massage
On both sides of the lower back (2 fingers width from the spine),
Have your partner give you a gentle massage.
This area has acupressure points that help the large intestine function.
It is effective in relieving constipation.
[Precautions and signs to stop exercising]
Signs that you should stop exercising:
• When you feel bloated
• When bleeding occurs
• When you have a severe headache or dizziness
• When you have severe chest pain or shortness of breath
• When swelling in the legs suddenly becomes severe
If these symptoms occur,
Stop exercising immediately and consult a doctor.
[Things to check before starting exercise]
• Have you been instructed by your doctor to rest?
• Are there any signs of threatened miscarriage or premature birth?
• Could it be pregnancy-induced hypertension?
• Check for complications such as placenta previa
If you have any concerns,
Be sure to get permission from your doctor before starting any exercise.
[Testimonials: Moms who improved their constipation through exercise]
"When I was seven months pregnant, I had a difficult time not having a bowel movement for a week.
When I consulted with my obstetrician-gynecologist,
I was advised to try walking for 30 minutes every day.
At first it was a hassle, but then my husband and I started walking around the neighborhood.
From the third day onwards, my bowel movements returned to normal.
Walking can also help you change your mood,
I was able to continue until the end of my pregnancy.
Thanks to my strength during childbirth,
I think I had a smooth delivery."
(28 years old, giving birth to second child)
Exercise not only relieves constipation,
It also helps build up physical strength in preparation for childbirth .
Without overdoing it, while having fun,
Please make sure to work towards building a healthy body together with your baby.
Probability of pregnant women developing hemorrhoids due to constipation and prevention methods
The mechanism of deterioration of perianal blood flow
Measures to prevent hemorrhoids that continue even after childbirth
"I've been suffering from constipation for a while, and I've been bleeding in the toilet..."
"My butt hurts so much I can't even sit down..."
Moms who suffer from such painful symptoms,
You are never alone.
In fact, hemorrhoids during pregnancy
"Approximately 60% of pregnant women experience this"
It's a very familiar problem.
From my 30 years of experience as a midwife and seeing many mothers,
We will provide you with accurate information about hemorrhoids.
The importance of "providing appropriate care without feeling embarrassed"
I'll tell you.
[Probability and timing of hemorrhoids during pregnancy]
◆ Hemorrhoid incidence rate by pregnancy stage
**Early pregnancy (~15 weeks):** Approximately 20%
Constipation due to morning sickness is the main cause
**Second trimester (16-27 weeks):** Approximately 35%
Pressure from the uterus reduces blood flow
**Late pregnancy (from 28 weeks):** Approximately 60%
Uterine heaviness and worsening constipation occur simultaneously
**One month after giving birth:** Approximately 70%
The greatest risk is straining during childbirth and postpartum constipation
In other words,
"Approximately two out of three women who experience pregnancy and childbirth"
You will experience hemorrhoids.
This is never
It's not because of "mother's poor management."
Due to "physical changes to protect the baby in the womb"
It's a natural phenomenon that occurs.
Why are you more likely to get hemorrhoids during pregnancy?
Reason 1: Progesterone-induced changes in blood vessels
Progesterone increases during pregnancy
Soften blood vessels
It works by improving blood flow to the baby .
However, this change
The blood vessels around the anus also become softer.
This makes it easier for blood to pool .
this is,
"The balloon's walls become thinner, making it easier to inflate."
It's like this.
Reason 2: Blood vessels are compressed by the uterus
After 20 weeks of pregnancy,
The enlarging uterus puts pressure on the blood vessels in the pelvis,
"Blood flow to the lower body deteriorates."
In particular, the blood vessels around the anus
It is easily compressed by the weight of the uterus,
This tends to cause blood flow to become stagnant.
this is,
"Stepping on the hose makes the water flow slower."
It's the same situation.
⭐ Reason 3: Constipation puts strain on the anus
Constipation during pregnancy
To pass hard stool
You will find yourself pushing harder more often.
Every time I strain, the blood vessels around my anus get
There is strong pressure,
This causes blood vessels to expand, making you more susceptible to hemorrhoids.
[Types and symptoms of hemorrhoids]
⭐ Hemorrhoids (internal and external hemorrhoids)
Internal hemorrhoids (inside the anus):
• Bleeding (fresh blood)
• A popping sensation when defecating
• Less pain
• Most common type in pregnant women
External hemorrhoids (outside the anus):
• Severe pain
• Swelling around the anus
• Difficulty sitting
• When a blood clot forms, it turns purple
⭐ Hemorrhoids (anal fissures)
Symptoms:
• Sharp pain during bowel movements
• Light bleeding
• Burning sensation continues even after defecation
• Constipation worsens and recurs easily
[How to prevent hemorrhoids during pregnancy]
⭐ The ultimate solution to constipation
The main cause of hemorrhoids is constipation.
**Effective Constipation Relief:**
• Fluid intake: 1.5-2 liters per day
• Dietary fiber: mainly water-soluble
• Moderate exercise: 30 minutes of walking every day
• Regular bowel habits
⭐ Correct bowel movements
**posture:**
• Place the entire sole of your foot on the floor
• Avoid slouching
• Use a step stool to raise your knees a little higher
**How to push:**
• Without holding your breath, exhale with a "whoosh" sound.
• Short intervals (5-10 seconds)
• Don't try to force it out
⭐ Care for the anal area
**Warming Care:**
• Take a long, warm bath
• Sitz bath: Fill a basin with lukewarm water and sit for 5-10 minutes.
• Warm your lower back with a disposable hand warmer (be careful of low-temperature burns)
**Keep it clean:**
• After defecation, gently wash with a washlet
• Don't scrub with toilet paper
• Best to rinse off in the shower
What to do if you have hemorrhoids
⭐Mild hemorrhoids (mild pain, slight bleeding)
**Self-care:**
• Cool: Wrap the ice pack in a towel and leave it for about 10 minutes.
• Cleanse: Gently wash in the shower
• Rest: Avoid standing or sitting for long periods of time.
• Relieving constipation: Focus on fluids and dietary fiber
Moderate to severe hemorrhoids (severe pain, heavy bleeding)
**Consult a gynaecologist or proctologist immediately:**
• Pain that makes it impossible to sit
• Heavy bleeding (toilet bowl turns bright red)
• Severe swelling around the anus
• If accompanied by fever
[Safe hemorrhoid treatment during pregnancy]
⭐Medications that can be used during pregnancy
**Suppositories/Ointments:**
• "Boraza G Ointment", "Preza Ace", etc.
• It acts locally so the effects on the fetus are minimal.
• However, be sure to get a doctor's prescription.
**Oral medications:**
• Vascular strengthening drug containing "Diosmin"
• Laxative (magnesium oxide)
• Avoid over-the-counter medications and consult a doctor
⭐ Treatments to avoid during pregnancy
**Surgical treatment:**
• Postpone non-emergency cases until after birth.
• To avoid adverse effects of anesthesia on the fetus
**Hardening medications:**
• Strong steroid drugs
• Alcohol-based disinfectants
[Postpartum hemorrhoid prevention]
⭐ Precautions during childbirth
Straining during childbirth is the biggest risk factor for hemorrhoids.
This cannot be avoided.
**Immediate postnatal care:**
• Cool with ice packs
• Use a round cushion
• Thorough prevention of constipation
⭐ Hemorrhoid care during breastfeeding
Many medicines can be taken while breastfeeding.
• Topical medications (suppositories and ointments) are fine.
• Consult your doctor before taking oral medication
• Laxatives can be continued.
[Experiences: Moms who have dealt with hemorrhoids]
◆ Ms. E (Developed hemorrhoids at 8 months pregnant)
"I had severe constipation, and one day I noticed blood in the toilet.
I was really surprised.
I was too embarrassed to talk to anyone about it,
The pain became so severe that I consulted a gynaecologist.
The doctor said, "This is common among pregnant women."
I felt relieved when I heard that.
Get a prescription for suppositories,
I was also given advice on how to deal with constipation.
It improved before giving birth.
I should have consulted you sooner."
◆ Ms. F (a mother who suffered from postpartum hemorrhoids)
"I developed hemorrhoids during childbirth,
The pain continued even after giving birth and while breastfeeding.
It was hard to sit and breastfeeding was difficult,
Talk to your midwife
Donut cushion and cooling gel
Care continued.
Complete recovery in about 3 months
There is no problem at all now.
Postpartum body problems
If you take good care of it, it will definitely get better."
Hemorrhoids are certainly a painful condition, but
It is a condition that can be improved with proper care .
And most importantly,
"Don't worry alone, talk to someone."
Obstetrician-gynecologists and midwives
We have extensive experience with hemorrhoids during pregnancy.
They provide care that is sensitive to the mother's needs.
Don't be shy, consult early,
Comfortable for both mom and baby
You can live your pregnancy life.
How many liters of fluid should a pregnant woman drink?
The 2 liters a day myth
How to drink to achieve both amniotic fluid formation and swelling prevention
"I've been drinking a lot of fluids to relieve constipation, but my swelling has gotten worse..."
"I was told to drink two liters a day, but I can't drink that much..."
Moms who have such worries,
In fact, the "2 liters a day myth"
There's a big catch.
With 30 years of experience as a midwife providing hydration guidance to pregnant women,
I'll be very clear.
"When it comes to fluid intake during pregnancy, quality and timing are more important than quantity."
While producing amniotic fluid necessary for the baby in the womb,
It also relieves mom's constipation,
And also prevents swelling
We'll teach you how to drink water wisely .
[The truth behind the "2 liters a day myth"]
Many health information sources say
"Drink 2 liters of water a day."
This is a guideline for the general adult female population .
It does not apply to pregnant women.
⭐ Changes in fluid needs during pregnancy
**Pre-pregnancy:** Approximately 1.5 liters/day for a 50 kg woman
**First trimester:** Approximately 1.8 liters/day
(Consider the risk of dehydration due to morning sickness)
**Third trimester:** Approximately 2.2 liters per day
(The time when amniotic fluid formation peaks)
**Third trimester:** Approximately 2.0 liters/day
(Adjusted to take into account the risk of swelling)
However, this is the total amount including fluids from food .
You don't need to drink 2 liters of water alone.
[The role of water during pregnancy]
⭐ Formation and maintenance of amniotic fluid
Amniotic fluid has important protective functions for your baby:
Cushioning effect: protects against external shocks
• Temperature regulation: Maintains a constant baby temperature
• Infection prevention: Prevents bacteria from entering
Promotes development: Helps your baby's lungs and digestive system develop
The amniotic fluid is completely replaced every three hours ,
A constant supply of fresh water is required.
⭐ Increased blood volume for mother
During pregnancy, the mother's blood volume
It increases to about 1.5 times the pre-pregnancy level.
this is:
• Providing nutrients and oxygen to the baby
• Ensuring placental blood flow
• Prepare for bleeding during childbirth
This is a necessary change for the future.
⭐ Effective in relieving constipation
Adequate hydration helps:
• Optimizes water absorption in the large intestine
• Softer stools
• Increased bowel movement
• Smoother bowel movements
[How to drink fluids depending on the time and symptoms]
⭐ Early pregnancy (up to 15 weeks): Focus on morning sickness prevention
**Target amount** 1.5 to 1.8 liters per day
**Drinking tips:**
• Small amounts frequently: about half a cup at a time
Not too cold: room temperature to lukewarm water
• Carbonated water: Helps reduce nausea
Lemon water: Refreshing and easy to drink
Drinks to avoid:
• Highly caffeinated coffee and tea
• alcohol
• Sugary juices
⭐ Mid-trimester (16-27 weeks): Peak amniotic fluid formation
**Target amount** 2.0 to 2.2 liters per day
**Effective drinking method:**
First thing in the morning: 1 glass of warm water
30 minutes before meals: 1 glass of water
After exercise: Drink plenty of fluids
Up to 2 hours before bedtime: Prevents frequent urination at night
**Suggested Drinks:**
• Warm water or room temperature water
• Barley tea (caffeine-free)
• Rooibos tea
• Diluted sports drinks (only during exercise)
⭐ Late pregnancy (28 weeks onwards): Focus on preventing swelling
**Target amount** 1.8 to 2.0 liters per day
**How to drink to prevent swelling:**
Pair with a low-salt diet
Potassium-rich drink: coconut water
Diuretic tea: Dandelion tea
• Hydrate while bathing your feet
[Effective fluid intake methods to relieve constipation]
⭐ Morning "constipation relief routine"
**Immediately after waking up (on an empty stomach):**
Slowly drink a glass (200ml) of warm water
**effect:**
• Stimulates intestinal peristalsis
• Thins blood that thickens overnight
• Switch the autonomic nervous system into "active mode"
**How to make plain hot water:**
1. Boil water
2. Continue boiling for 10 to 15 minutes
3. Cool to 50-60°C
4. Drink slowly
⭐ How to combine with meals
**30 minutes before meals:** 1 glass of water
→ Promotes gastric acid secretion and aids digestion
During meals: Drink small amounts (about half a cup total)
→ Be careful not to dilute stomach acid too much
**2 hours after eating:** 1 glass of warm drink
→ Aids digestion and promotes bowel movements
⭐ Secret tips for "hydration for intestinal health"
**Hot water with oligosaccharides:**
Add 1 teaspoon of oligosaccharides to hot water
→ It serves as food for beneficial bacteria and improves the intestinal environment
**Dietary fiber drinks:**
Dissolve water-soluble dietary fiber supplements in water and drink
→ Double the effect of softening stool
[Points to note about fluid intake to prevent swelling]
⭐ Ways to avoid drinking
**chugging:**
Drinking a lot of water in a short amount of time
It puts strain on the kidneys and causes swelling
**In combination with excessive salt:**
High-salt diet and lots of fluid intake
Helps the body retain water
**Large doses taken just before bedtime:**
Causes both nocturia and bloating
⭐ How to drink water to prevent swelling
**Choose potassium-rich drinks:**
• Coconut water
• Diluted tomato juice (unsalted)
• Banana smoothie
**Hot drinks mainly:**
• Promotes blood circulation
• Improved metabolism
• Relaxing effect
[How to address individual differences in fluid intake]
⭐ Weight guideline
**Weight less than 50 kg:** 1.5 to 1.8 liters/day
**Weight 50-60 kg:** 1.8-2.0 liters/day
**Weight over 60 kg:** 2.0 to 2.2 liters/day
⭐ Seasonal adjustments
**Summer (hot season):** Above guideline + 300-500ml
**Winter (cold season):** As per the above guidelines
**When using cooling or heating:** +200 to 300 ml
⭐ Adjustments according to physical condition
**When morning sickness is severe:** Drink small amounts frequently and use carbonated water
**If you have severe constipation:** Increase the amount of hot water you drink in the morning
**When swelling is severe:** Salt restriction + potassium intake
**For colds and fevers:** Increase the dose to about 1.5 times the normal amount.
[Testimonials: Moms whose constipation improved with fluid intake]
◆ Ms. G (7 months pregnant)
"I have severe constipation so I drink 2 liters a day.
I tried my best, but the swelling got worse.
I was in trouble.
If you talk to your midwife,
I was told that "how you drink is more important than the amount"
Drink hot water in the morning and drink water before meals
I've become more thorough.
The total volume was reduced to about 1.5 liters.
My constipation has improved and my swelling has lessened.
Timing was so important!"
◆ Ms. H (5 months pregnant)
"I couldn't drink water because of morning sickness and I was constipated.
It was a vicious cycle.
Carbonated water with lemon squeezed in
I know I can drink it,
By continuing even a little at a time
My constipation has improved.
"You don't have to force yourself to drink a lot,
It's important to continue
That's what I learned."
Water intake during pregnancy
It is an important habit to protect the health of both mother and baby .
Don't be too concerned about quantity,
In consultation with your own physical condition,
Find a way to continue doing it comfortably .
And it's not just about hydration,
Moderate exercise and balanced nutrition
It is important to take comprehensive measures to prevent constipation.
Contributes to the health of mother and baby.
How to distinguish between abdominal pain caused by constipation and labor pains
Gas buildup and intestinal fermentation pain vs. uterine contraction pain
Symptoms requiring emergency medical attention
"My stomach hurts... is this constipation? Or labor pains?"
"I still have two months until my due date, and I'm having pain in my lower abdomen..."
Moms who have such concerns,
Especially in the later stages of pregnancy
This is a problem that many moms experience.
As a midwife for 30 years, I have helped many mothers
From my experience of facing "pain",
I'll be very clear.
"You can definitely tell the difference between abdominal pain caused by constipation and labor pains."
By knowing how to distinguish this correctly,
Without unnecessary anxiety,
This will allow you to visit the hospital only when it is truly necessary.
And above all,
This will help to "protect the safety of the mother and the baby in the womb."
[Characteristics of abdominal pain caused by constipation]
⭐ Pain caused by gas buildup
**Nature of pain:**
• Location: All over the abdomen, especially the left side and around the belly button
Intensity: dull pain, heavy feeling
Duration: lasts from a few minutes to a few hours
• Variation: Changing positions can sometimes help.
**Accompanying symptoms:**
• Abdominal bloating (feeling full of gas)
• Burping or farting can help relieve the pain
• Pain worsens after eating
• Urge to defecate but unable to, or hard stools
**Pain Pattern:**
Irregular and waveless.
It often persists at a constant intensity.
⭐ Pain caused by intestinal fermentation
If constipation continues for a long period of time,
Food ferments in the intestines
A large amount of gas is produced.
Characteristic symptoms:
Abdominal bloating: swelling separate from the belly size caused by pregnancy
Bowel sounds: "gurgling" or "rumbling" sounds
Gas retention: Feeling like you're about to fart but can't
Loss of appetite: feeling bloated and nauseous
[Characteristics of labor pains (uterine contractions)]
⭐ Full-blown labor pains
**Nature of pain:**
• Location: Entire lower abdomen, lower back and back
Intensity: Waning in strength and weakness
Duration: Pain lasts for 30 seconds to 1 minute
• Interval: Regular (initially every 10-15 minutes)
**Pain characteristics:**
Wave-like: pain comes, subsides, then comes again
Progressive: Pain gradually increases in intensity and frequency
• No effect of changing posture: Pain no matter what position you take
Pain that makes it hard to breathe and makes it difficult to speak
⭐ False labor pains
**Nature of pain:**
Irregular: irregular spacing
• Variable strength: sometimes strong and sometimes weak
• Duration is variable: from a few seconds to a few minutes
Non-progressive: Does not get stronger over time
**How to tell the difference:**
• Taking a bath can help relieve pain.
• Improved with fluid intake and rest
• Fetal movements are felt as usual
[How to identify pain: practical check methods]
⭐ 5-minute observation method
If you experience pain, observe it for five minutes.
**For constipation pain:**
• Continues for 5 minutes at roughly the same intensity
• Or gradually ease up
• Burping or farting may improve the condition
**If you are in labor:**
• A pattern of "strong pain → subsides → pain returns" over the course of 5 minutes
• You can measure the interval between pains with a timer.
⭐ Posture change test
**manner:**
1. Standing → Sitting → Lying down
2. Left → Right → Back (short period)
3. Try sitting on the toilet seat
**For constipation pain:**
• Any position is comfortable
• Often finds relief especially when using the toilet
**If you are in labor:**
• The pain remains the same regardless of position
• It actually becomes difficult to move.
⭐ Water intake test
Try drinking a glass of warm water slowly.
**For constipation pain:**
• Pain may subside after 10-15 minutes
• Increased bowel movements and gas movement
**If you are in labor:**
• Pain does not improve with fluid intake
• In fact, the pain makes it difficult to drink anything.
[Symptoms requiring emergency medical attention]
❌ Symptoms that require immediate medical attention
◆ If there is a high possibility of labor pains
Regular pain: pain occurs less than every 10 minutes
Severe pain: Forced to scream
Suspected water rupture: Large amounts of watery fluid
Bleeding: Bleeding on the second day or later of menstruation
◆ Possibility of abnormalities in the baby
Decreased fetal movement: Fetal movement is noticeably less than usual
Stopped fetal movement: No fetal movement for more than 2 hours
Severe abdominal pain: Pain so severe that you cannot stand
◆ Serious complications of constipation
Severe abdominal pain and fever: Possible intestinal obstruction
Repeated vomiting: risk of dehydration
Bloody stool: Large amounts of blood or black stool
Abnormal abdominal hardness: as hard as a board
[Points to note depending on the number of weeks pregnant]
⭐ Less than 20 weeks pregnant (early to early mid-term)
The regular pain during this period is
It could be a sign of miscarriage .
**Symptoms to watch out for:**
• Any mild pain comes regularly
• Accompanied by bleeding
• Severe lower back pain
Do not hesitate to contact your obstetrician-gynecologist.
⭐ 20-35 weeks pregnant (late second trimester to early third trimester)
The regular pain during this period is
It could be a sign of premature labor .
**Symptoms to watch out for:**
• Abdominal bloating more than four times in 30 minutes
• Lower abdominal pain similar to menstrual cramps
• Regular tension with lower back pain
⭐ After 36 weeks of pregnancy (full term)
At this time of year,
It's okay if labor starts.
**When to visit:**
Primipara: Regular pain every 10 minutes
Multiparous women: Regular pain every 15 minutes
Water breaks: Seek medical attention immediately regardless of the week
[How to deal with constipation pain at home]
⭐ Immediately effective method
**Hot compress therapy:**
Place a warm towel on your stomach (avoiding your uterus)
→ Promotes bowel movement
**Knee-chest position:**
Get on all fours and lift your buttocks up
Helps gas move
**Abdominal breathing:**
Massage your intestines with deep, slow breathing
→ Regulate the autonomic nervous system
⭐ Gas release pose
**Left lateral position:**
Lie on your left side with your knees slightly bent
→ Gas from the sigmoid colon becomes easier to escape
**Gas relief massage:**
Gently massage your belly in a clockwise direction
→ Moves gas in accordance with bowel movements
[Testimonials: Voices of mothers who suffered from pain]
◆ Ms. I (8 months pregnant and experiencing constipation pain)
"I suddenly got a stomach ache in the middle of the night.
I panicked, thinking, "Could this be labor?"
Experiences and solutions for severe constipation during pregnancy
Hot water therapy to break away from dependence on laxatives
A true story of how to deal with constipation during threatened premature labor
"I haven't had a bowel movement for a week now... If this continues, it will have a negative effect on the baby..."
"I've been taking laxatives, is this okay?"
Moms who suffer from such serious constipation,
Your pain can definitely be resolved.
As a midwife for 30 years,
Dealing with mothers who suffer from "severe constipation,"
Together we found a solution.
This time was particularly impressive
Through "actual experiences,"
We will tell you how to improve even the most severe constipation.
These experiences are
For moms with the same problem
It should be a ray of hope .
[Testimonial 1: Ms. K (6 months pregnant) was able to overcome constipation in a week]
⭐ Severity of symptoms
"My constipation started getting worse around the fifth month of pregnancy.
Finally, I had no bowel movements at all for a week.
My stomach feels bloated and bloated in a way that's different from pregnancy.
It's hard to eat,
I'm worried that my baby won't get enough nutrition.
I continued to have sleepless nights.
I thought about taking some over-the-counter laxatives,
I had heard that it was dangerous during pregnancy, so I refrained from doing it.
⭐ A turning point in my life: a visit to the obstetrics and gynecology department
"Finally I couldn't take it any longer and went to see my obstetrician-gynaecologist.
I asked my teacher, "Why didn't you talk to me about this sooner?"
It is said that constipation is also an important part of health management.
I was taught this.
Magnesium oxide was prescribed
Knowing that there are medicines that are safe even during pregnancy
I felt truly relieved."
⭐ Combining medication with lifestyle changes
"Not just prescribed medications,
I also received lifestyle advice from the midwife.
**Morning hot water therapy:**
As soon as I wake up every morning, I drink slowly boiled water.
Drink one glass over 15 minutes.
**Dietary Improvements:**
Soluble dietary fiber (oatmeal, apples)
I started taking it every day.
**Exercise habits:**
30 minutes of walking every day,
Make abdominal breathing a habit after taking a bath.
⭐ Dramatic improvements and the present
"On the third day after starting the medicine, I had a bowel movement for the first time in a long time!
After that, with hot water therapy and lifestyle changes,
Gradually reduce the medication
I'm currently 8 months pregnant and without medication.
I have a bowel movement once every two days.
The misconception that "constipation is something to endure"
I realized that was a mistake.
If you had consulted earlier,
There was no need to suffer so much."
[Testimonial 2: How to Resolve Constipation During Bedrest Due to Preterm Labor - Ms. L (7 Months Pregnant)]
⭐ Constipation in special circumstances
"I was diagnosed with threatened premature labor at 26 weeks pregnant.
A period of complete bed rest in hospital began.
Even though I was already prone to constipation,
I can't even get up from the bed
Constipation suddenly worsens.
I haven't had a bowel movement for four days,
I'm too embarrassed to talk to the nurse
I was struggling alone."
⭐ Collaboration with medical teams
"Finally, my stomach pain got so bad
When I spoke to the nurse,
Constipation in patients with threatened premature labor
I was relieved when he said, "This is a common occurrence."
Obstetricians, midwives, and nutritionists
The team medical team came up with a solution to my constipation problem.
**Medication:**
In addition to magnesium oxide,
Enemas have also been found to be safe to use.
**Bedtime exercises:**
Ankle exercises, deep breathing,
I was given some guidance on how to give a light abdominal massage.
⭐ Constipation prevention measures that can be done even while resting
"There's a lot you can do in bed:
**Tips for hydration:**
The nurse gave me warm water.
Now they bring it to me regularly.
**Dietary Adjustments:**
A nutritionist took constipation into consideration
They changed the menu to hospital food.
**Abdominal breathing:**
Abdominal breathing for 10 minutes three times a day
Promoted bowel movements.
**Leg exercises:**
Rotating your ankles,
Gently massage your calves
I focused on improving blood flow."
⭐ Safe delivery and complete solution to constipation
"Thanks to the thorough learning I did on how to deal with constipation while I was hospitalized,
She was discharged safely at 35 weeks pregnant.
I gave birth to a healthy baby at 39 weeks.
I have continued to use the constipation prevention measures I learned after giving birth,
I don't have any problems with constipation during breastfeeding.
Don't give up and think, "It can't be helped because I'm resting."
I'm really glad I spoke to my medical team."
[Story 3: Ms. M (8 months pregnant) overcame her addiction to laxatives]
The beginning of drug dependence
"I had been using laxatives regularly since before I got pregnant.
When I found out I was pregnant, I thought, "I have to stop taking my medicine."
When I suddenly stopped
My constipation has gotten dramatically worse.
Unable to bear it any longer, I took over-the-counter medicine again.
The guilt of thinking, "Will this have a negative effect on the baby?"
Worried that "it won't come out without medicine"
It was mentally exhausting as well."
⭐ Medication review by a specialist
"I honestly discussed it during my prenatal checkup,
The doctor told me that it is dangerous to suddenly stop taking the medicine.
I was surprised when I heard that.
Check the ingredients of over-the-counter medicines
Switch to a medication that is safe during pregnancy.
"There's no need to demonize drugs."
"If used properly, it can be an ally."
Those words saved me."
⭐ Gradual medication reduction plan
"Three months with the doctor
A tapering plan was developed:
**Stage 1 (Month 1):**
Switched to safe medication and started hot water therapy
**Phase 2 (Month 2):**
Reduce the dose of the drug by half
Strengthening diet and exercise therapy
**Stage 3 (3rd month):**
Reduce the dose to once every three days
Establish a natural bowel movement rhythm
⭐ Change to a constitution that does not rely on medicine
I'm currently 38 weeks pregnant.
I have a bowel movement every day without medication.
**The secret to success:**
- Drinking hot water every morning
oatmeal and yogurt breakfast
・One hour walk every day
・Relieve stress (reading, music)
Above all, "Medicine is not the enemy"
"You can use it when you need it"
By being able to think
It also made me feel better mentally."
[Story 4: Ms. N (4 months pregnant) was saved from the hell of constipation during morning sickness]
⭐ The vicious cycle of morning sickness and constipation
"Severe morning sickness began at six weeks pregnant,
I was barely able to drink any water.
Naturally, this leads to constipation, and when constipation causes bloating,
I feel even worse and can't eat...
This vicious cycle caused me to lose 5kg.
I was so worried about my baby that I cried all the time."
⭐ Guidance at a specialized morning sickness clinic
"When I was hospitalized due to severe morning sickness,
From a midwife specializing in morning sickness
I learned about "How to deal with constipation during morning sickness":
**Tips for hydration:**
・Put ice in your mouth and let it melt little by little
Drink lemon water in small amounts frequently
- Drink diluted oral rehydration solution
**Dietary Tips:**
Eat only what you can eat
- Get nutrients from cold jelly and fruit
・Easy-to-digest porridge with pickled plums
**Medication tailored to your condition:**
・Administer laxatives while rehydrating through an IV drip
- Combination use of anti-nausea and laxatives
⭐ Improves morning sickness and relieves constipation
"When morning sickness becomes less severe through hospital treatment,
Constipation also improved naturally.
After being discharged from the hospital, I continued to use the methods I had learned.
I'm currently 16 weeks pregnant and my morning sickness has almost subsided.
Constipation is also being resolved smoothly.
I had given up, thinking, "It can't be helped during morning sickness," but
By receiving specialized care
I was surprised at how much easier it was."
[Key points for success learned from these experiences]
⭐ Common success factors
1. Early Professional Consultation
All mothers said, "I wish I had consulted sooner."
He looks back and says, ``
**2. Correct understanding of drug therapy**
Get rid of the idea that "drugs are bad"
I understand the importance of using it properly.
**3. A fundamental review of lifestyle habits**
Don't rely on medicine alone
We implemented comprehensive improvements in hydration, diet, and exercise.
4. A phased approach
It's not a sudden change,
We strive to make continuous improvements within reasonable limits.
⭐ Lessons learned from failure
**Patience is dangerous**
By hiding constipation as something to be ashamed of,
The symptoms worsened and developed into a more serious problem.
**The limits of self-judgment**
The problem cannot be solved by information on the Internet alone.
A personalized approach was needed.
**The trap of perfectionism**
I was too attached to the ideals of "no drugs" and "naturally"
I was missing a practical solution.
[Message from the experts]
Through these experiences, I would like to convey
"No matter how bad your constipation is, there's always a solution."
That is what it means.
The important thing is:
1. Don't worry alone
2. Getting the right information
3. Work with experts
4. **Keep calm and keep going**
Your constipation can be cured with appropriate measures
It can definitely be improved.
Don't be shy,
Consult your obstetrician-gynecologist immediately.
Mom's health and comfort are our top priorities.
For babies in the womb
It's more important than anything else.
Warning signs of constipation that should be discussed with your obstetrician/gynecologist
3+ days vs. 1+ week
When and how to seek medical advice when you experience bloody stools or severe pain
"Is it too much to go to the hospital for constipation?"
"I'm sorry for taking up your time with something like this..."
Mom is being so reserved like that,
This reluctance can sometimes lead to overlooking "life-threatening dangers."
I have seen many pregnant women as a midwife for 30 years,
There is something I would like to say from my heart.
"Seeking advice about constipation is not something to be embarrassed about or trivial.
This is a very important medical consultation to ensure the health of mother and baby.”
In fact, there are serious illnesses hidden behind constipation,
Important signs related to pregnancy
I have seen many cases where it was discovered early.
Today is
When and how to consult
We will provide you with clear criteria.
[Criteria for determining when to see a doctor by urgency]
🚨 Seek medical attention immediately (emergency level)
If you have any of the following symptoms:
Do not hesitate to go to the emergency room of the obstetrics and gynecology department or
Please call an ambulance:
**Severe symptoms:**
Unable to stand due to severe abdominal pain
Large amounts of blood in the stool (the toilet bowl turns bright red)
Abdominal pain accompanied by a high fever (over 38°C)
Severe vomiting that won't stop
Your stomach is as hard as a board
Pregnancy-related warning signs:
Regular contractions (before 37 weeks pregnant)
Heavy bleeding (2nd day of menstruation or later)
Suspected water breaking
No fetal movement felt (for more than 2 hours)
These include "intestinal obstruction," "infection," and "premature birth."
It may be a life-threatening condition.
⚠️ Visit within 24 hours
Symptom combination:
• Constipation for more than a week + severe abdominal pain
Bloody stool (continuous, even if small amounts)
Fever (over 37.5°C) + abdominal discomfort
- Not being able to eat at all for more than 2 days
Vomiting water as well
**Effects on pregnancy progress:**
Weight loss (more than 2 kg per week)
Dehydration (decreased urine output, dizziness)
Frequent abdominal bloating (more than four times per hour)
📞 Call an obstetrician-gynecologist on weekdays
**Basic guidelines for constipation:**
• No stool for more than 5 days
• More than 3 days + severe abdominal bloating
Severe pain during bowel movements (possibly hemorrhoids)
Sudden changes in the nature of your stool (sudden hardening, etc.)
**Impact on daily life:**
Loss of appetite lasts for more than 3 days
I can't sleep at night because of stomach pain
The stress of constipation is mentally painful
Over- the-counter medications are no longer effective
💡 Consult at your next checkup
**Mild symptoms:**
• Constipation for about 3 days (first time)
Mild abdominal bloating
Hard stool but still able to pass
Mild hemorrhoid symptoms (no bleeding)
**Preventive Consultation:**
• Use of laxatives
I want to receive dietary advice
• I want to know how to exercise
[Effective ways to consult with an obstetrician-gynecologist]
⭐ How to communicate over the phone
When calling your obstetrician-gynecologist:
Organize the information in the following order:
**1. Basic information (30 seconds)**
"My name is ○○.
I am currently ○ weeks pregnant and this is my ○th pregnancy.
I'd like to ask about constipation."
**2. Symptom details (1 min)**
"The last time I had a bowel movement was x days ago.
The degree of abdominal pain is ○ out of 10.
There is/is no fever, bleeding, or vomiting."
**3. Current action (30 seconds)**
"Fluid intake is ○ liters/day,
I tried ○○ (food/drug).”
**4. Questions/requests (30 seconds)**
"Do I need to be examined?
Is there anything I can do at home?”
⭐ Information to prepare when visiting the clinic
**Bring a constipation diary**
A minimum of one week's worth of records is helpful:
• Date and presence or absence of bowel movements
• Stool consistency (1-7 scale)
• Severity of abdominal pain (1-10 scale)
• Meal contents (briefly)
• Fluid intake
• Medications and supplements used
**Changes in symptoms**
• When did it start?
• Is there a trigger for the deterioration?
• Have there been times when it got better?
• Association with other symptoms
**Current pregnancy progress**
• Morning sickness status
• Weight change
• Whether there are any other pregnancy problems
• Medications and supplements you are taking
[Reasons for Hesitating to Consult and How to Deal with It]
⭐ Feeling embarrassed
**Mom's inner voice:**
"It's embarrassing to talk about bowel movements..."
**reality:**
For obstetricians and midwives,
Consulting on constipation is "part of daily work."
More than 70% of pregnant women experience constipation,
The staff is used to
As a "frequently asked, important question"
They will respond seriously.
⭐ Reluctant to say, "It might be an exaggeration"
**Mom's inner voice:**
"Why go to the hospital for just constipation?"
**reality:**
Constipation is one of the "key health indicators" during pregnancy.
Constipation is caused by:
• Dehydration symptoms
• Nutritional deficiencies
• Stress
• Possibility of other underlying illnesses
etc., and requires professional judgment.
⭐ Worrying about being scolded
**Mom's inner voice:**
"I feel like I'm going to get scolded for not being able to manage my diet..."
**reality:**
Constipation during pregnancy is a "natural change caused by hormones,"
It's not because of mom's lack of control.
Doctors and midwives can "find solutions together"
It is a purpose and not a criticism.
[Appropriate follow-up after consultation]
⭐ If you receive prescription medication
**Observation points after starting the medication:**
• Will it be effective within 3 days?
• Are there any side effects (abdominal pain, diarrhea)?
• Does it affect other pregnancy symptoms?
**Timing for re-consultation:**
• If there is no effect within a week
• If you are concerned about side effects
• If symptoms worsen
⭐ If you receive lifestyle guidance
**Post-practice record:**
• Status of implementation of teaching content
• The degree of improvement
• Difficulties
**Report at next visit:**
• What has improved
• Reasons why I can't continue
• New questions or requests
[Actual successful consultation cases]
◆ Ms. O (5 months pregnant)
"I hadn't had a bowel movement for four days and I had stomach pains.
I mustered up the courage to call my obstetrician-gynaecologist.
"He gave me good advice," he said.
I was seen by doctor that same day.
Please listen to the details,
I was prescribed medication and given lifestyle advice.
It improved after 2 days,
I truly felt that it was a good thing that I had consulted with them early on.
Now there are signs of constipation
I plan to consult with them immediately."
◆ Ms. P (7 months pregnant)
"I had blood in my stool and got scared so I went to see a doctor.
After an examination, it was discovered that I had hemorrhoids.
"It's common among pregnant women."
I felt relieved when he explained this to me.
With proper treatment, symptoms improve
I was comfortable until the birth.
The time I spent worrying alone
It was a waste."
[Finally: A heartfelt message to moms]
Constipation is not something to endure .
It is a "health issue that needs to be addressed appropriately."
Your health and comfort
For babies in the womb
This is the most important thing.
Obstetrics and gynecology
A place to protect the health of mothers and babies .
For constipation consultation,
It's an important part of that role.
There's no need to be shy or embarrassed.
When you're in trouble,
Please feel free to contact us at any time.
For the health of you and your baby,
The entire medical team
We will provide you with solid support.
Constipation prevention program from early pregnancy to postpartum
Weekly countermeasure schedule and
Long-term health management methods that continue into the breastfeeding period
"Even if I don't have constipation now, I'm worried because I've heard that it will get worse as pregnancy progresses."
"I'm worried about postpartum constipation... is there anything I can do now to prepare?"
Mom's feelings as she looks ahead to the future,
That's amazing.
Instead of "dealing with it after you become constipated,"
The idea of "continuing to prevent constipation" is
This is the secret to long-term health for mom and baby.
I've seen many mothers as a midwife for 30 years.
There is something I am sure of.
"Mothers who consistently prevent constipation from early pregnancy through to postpartum,
Pregnancy, childbirth, and childcare will all proceed smoothly.
Today, I will be talking about the period from finding out you are pregnant to one year after giving birth.
Optimized for each period
We will introduce you to the "Complete Constipation Prevention Program."
[Early pregnancy (4-15 weeks): Time to build a foundation]
⭐ Characteristics and goals of this period
**Body Changes:**
• Progesterone secretion begins
• Changes in food and fluid intake due to morning sickness
• Changes in daily routine
**Prevention Goals:**
• Establish basic habits to prevent constipation
• Create a routine that you can continue even during morning sickness
• Improves intestinal environment
⭐ Weekly practice program
**4-7 weeks pregnant: Focus on morning sickness prevention**
**Basic daily routine:**
**6:00 Wake up**
• Slowly drink half a glass (100ml) of warm water.
• If morning sickness is severe, put ice in your mouth first.
**7:00 Breakfast**
• Eat small amounts of food
• Bananas, apples, and oatmeal are recommended.
• Eat when you can, without forcing yourself.
**10:00 & 15:00 Snacks**
• Yogurt (probiotics)
• Fiber-rich fruits
**9:00 PM before bed**
• A cup of hot barley tea
• Gentle abdominal breathing (5 minutes)
**8-11 weeks pregnant: Habit formation period**
**Customs to add:**
**Start light exercise:**
• A 15-minute walk every day
• Stretch indoors on difficult morning sickness days
**Strengthening intestinal activity:**
• Actively consume natto and miso soup
• Mix oligosaccharides into yogurt
**Fluid intake goal:**
• 1.5 liters per day (adjust according to the severity of morning sickness)
**12-15 weeks pregnant: Preparing for the stable period**
**Routine Complete:**
**Establish a morning routine to prevent constipation:**
1. Immediately after waking up: 1 cup of hot water (200ml)
2. Breakfast: High-fiber meals
3. After breakfast: 10 minutes of light exercise
4. Toilet time: Sitting down even when you don't need to go to the bathroom
[Mid-term pregnancy (16-27 weeks): Active efforts during the stable period]
⭐ Characteristics and goals of this period
**Body Changes:**
• Relief of morning sickness
• The uterus begins to expand
• Recovery of appetite
**Prevention Goals:**
• Increased exercise
• Optimal nutritional balance
• Building physical strength for the second semester
⭐ Strengthening Program
**Weeks 16-19: Full-scale exercise begins**
**Daily exercise menu:**
Morning (20 minutes):
• 15 minutes walking
• 5 minutes of stretching
Evening (15 minutes):
• Prenatal Yoga
• Abdominal breathing
**Food Option:**
• Eat three meals a day
• Dietary fiber goal: 25g per day
• Fluid intake: 2 liters per day
**20-23 weeks: Nutritional optimization period**
**Specialized menu for preventing constipation:**
**breakfast:**
• Oatmeal + yogurt + fruit
• Natto rice + miso soup
**lunch:**
• Vegetable salad
• Brown rice or mixed grain rice
• Fish or chicken
**dinner:**
• Boiled root vegetables
• Seaweed salad
• Hot soup
**Snacks:**
• Nuts (in moderation)
• Dried fruits
• Lactic acid bacteria drink
**Weeks 24-27: Preparing for the second trimester**
**Strengthening health management:**
• Start a constipation diary
• Linking with weight management
• Regular obstetric and gynaecological consultations
[Late pregnancy (28-40 weeks): Final preparations for birth]
⭐ Characteristics and goals of this period
**Body Changes:**
• Maximum compression of the bowel by the uterus
• Limited athletic ability
• Reluctance to drink fluids due to frequent urination
**Prevention Goals:**
• Continue taking measures to prevent constipation within reasonable limits
• Managing your health in preparation for childbirth
• Postpartum preparation
⭐ Adjustment Program
**28-31 weeks: Adjusting exercise volume**
**Qualitative changes in movement:**
**Strong Exercise → Gentle Exercise:**
• Walking: 30 minutes → 20 minutes
• Yoga: Active → Relaxing
• Add water exercises (if possible)
**Tips to prevent constipation:**
• Number of meals: 3 times a day → 4-5 times a day (small amounts, frequent)
• Fluid intake: 2 hours before bedtime
• Foot baths promote blood circulation in the lower body
**32-35 weeks: Individualized care period**
**Flexible response according to your physical condition:**
**If you experience frequent bloating:**
• Reduce exercise and focus on rest
• Warm drinks stimulate bowel movements
• Consult with your doctor and consider using laxatives
**If swelling is severe:**
• Salt restriction and fluid regulation
• Eat potassium-rich foods
• Rest with your feet elevated
**36-40 weeks: Preparing for birth**
**Final preparations for birth:**
**Achieving both constipation prevention and labor preparation:**
• Establishing daily bowel habits
• Consult your doctor about using laxatives during labor.
• Preparation for postpartum constipation
Postpartum period (0-12 months): Recovery and breastfeeding measures
⭐ 1 month after giving birth: Recovery is the priority period
**Characteristics of this period:**
• Perineal pain due to childbirth
• Sudden changes in hormone balance
• Increased fluid and nutritional needs due to breastfeeding
• Stress due to lack of sleep
**Key points of measures:**
**Pain Considerations:**
• Use of a donut cushion
• Use of hot water cleaning
• A relaxed and comfortable posture
**Ensuring nutrition and hydration:**
• Fluid intake according to breastfeeding amount (+500ml)
• Nutritional balance for the postpartum period
• Postpartum diet tips that are effective against constipation
⭐ 2-6 months after giving birth: breastfeeding begins in earnest
**Measures to combat constipation during breastfeeding:**
**Tips for hydration:**
• Always hydrate before and after feedings
• Prepare a bottle for nighttime feedings
• Daily goal: 2.5 liters
**Time management:**
• Take advantage of your baby's sleep time
• Choose easy constipation remedies
• Building a family cooperation system
**Nutrition Considerations**
• Prevent constipation with foods that are good for breast milk
• Contains calcium, iron and dietary fiber
• Use easy-to-eat foods to relieve constipation
⭐ 7-12 months after birth: Establishing a daily routine
**Establishing long-term healthy habits:**
**A whole family effort:**
• Improving your baby's diet in line with weaning food
• A healthy lifestyle that includes dads
• Exercise habits that are compatible with child-rearing
**Preparing for your next pregnancy:**
• Optimizing the intestinal environment
• Build a constitution that is less prone to constipation
• Establishing habits that can be continued even before pregnancy
[Tips for continuing and ways to avoid giving up]
⭐ A step-by-step approach that doesn't overwhelm you
**Weekly Goal Setting:**
**Week 1:** Just drink hot water
**Week 2:** + Light morning exercise
Week 3: + Dietary changes
**Week 4:** +Increased fluid intake
Don't try to change everything at once,
I'm sure I'll make each one a habit.
⭐ Flexible response when you are unwell
**When morning sickness is severe:**
• Replace hot water with ice water
• Replace exercise with rest
• Continue eating only what you can eat
**When you're feeling well:**
• Return to normal program
• A little strengthening is OK
⭐ Family support system
**Dad's help:**
• Shopping for foods that are good for constipation
• Walking together
• Sharing household chores to ensure time for exercise
**Understanding from parents and in-laws:**
• Explain the importance of preventing constipation
• Understanding of dietary content
• Avoid unreasonable offers
[Success story: A mother's testimonials from a year of continued support]
◆ Ms. Q (currently 8 months postpartum)
"I started this program early in my pregnancy,
I never had a problem with constipation during my pregnancy.
The birth was easy and the postpartum constipation was minor.
Now the whole family is living a healthy lifestyle
I was able to learn it.
I realize the importance of "prevention."
◆ Ms. R (currently one year postpartum)
"During the course of the day, I had morning sickness and threatened premature labor.
There were times when we couldn't follow the program,
With the feeling of "continuing as much as I can"
It continued.
Not striving for perfection
I think that was the key to its longevity.
Even during the second pregnancy,
I would like to make use of this experience."
[Finally: Investing in your long-term health]
This constipation prevention program
It's not just a "constipation remedy."
"Lifelong Healthy Habits for Mom and Baby"
It's about building the foundation.
A small habit to start now
Pregnancy, childbirth, and childcare
It makes you comfortable.
And when the baby grows up,
"Healthy habits taught to me by my mother"
It will be passed down through the generations.
Don't aim for perfection,
Start with what you can, little by little.
You and your baby,
And for the health of the whole family,
Why not get started today?
Loving newborn care
Caring for a newborn baby is a challenge for mothers
It's a valuable time to learn about love .
Even if it's not perfect, even if there are things I don't understand,
Mom's desire to cherish her child is what
It is the best nutrition for your baby.
When you feel anxious,
Don't hesitate to consult with a professional or someone you trust.
Every day with your baby
Let's spend some time together full of love.