The "In's and Out's" of Poop in Pregnancy

Let's talk about poop, shall we?

It’s one of the top sources of anxiety in pregnancy . . . . . . POOP. 

Whether it’s the constipation that arrives well before you have any sort of baby bump, or the fear some have about pooping in labor, there’s a lot of attention paid to poop when you are pregnant.

So let’s talk about it! Here's what you need to know about poop in pregnancy and childbirth.

1. Constipation is common. The hormones released throughout pregnancy, especially progesterone, make food move more slowly through your intestinal tract. You are able to absorb more nutrients for your growing baby, which is a good thing. The downside of this slower digestion is constipation. It can start in the first trimester, when you’re not even showing, and last throughout your entire pregnancy.

Constipation can be frustrating and uncomfortable. Straining to poop can in turn cause hemorrhoids, which can be downright painful. 

Some things that can relieve constipation include:

• Regular exercise
• Drinking plenty of fluids (hydration is important in pregnancy for many reasons)
• Eating a healthy diet of fiber-rich fruits and veggies
• Using a Squatty Potty or similar product to get into a better pooping position
• Waiting until you absolutely need to go before trying to poop, to avoid straining
• Talking to your care provider about switching to a different iron supplement, if that’s something you need
• Asking your care provider about taking a fiber supplement or medication to alleviate your symptoms

2. Diarrhea toward the end of pregnancy can be exciting! That’s because it is one of the signs of early labor. Up to several days before you feel your first crampy contraction, your body may clear itself out in preparation for birth. Be sure to stay hydrated if you experience diarrhea, and keep yourself nourished by continuing to eat. You will need your strength for labor.

Note: If you have a fever or suspect that your diarrhea could be caused by food poisoning, then be sure to consult your care provider.


3. You will probably poop a little while you push. This is a big concern for some people. They get really anxious about the thought about pooping while they are pushing, and having their partner and birth attendants see it happen.

First of all, yes, it happens. It happens all the time. Your friends and relatives, celebrities, that put-together mom at school drop-off, your great grandma-- they probably pooped while they pushed out their babies, too.

And trust me, nobody in the room cares. The birth workers have seen it many, many, many, many, many times before. It is a total non-issue. They will just discreetly wipe away any poop, replace the Chux pad if necessary, and continue on. 

In my experience, your partner doesn’t care, either. At this point, you are actively pushing out your baby, and your partner will be laser-focused on the baby, and on supporting you. They will be concerned, and excited, and hopeful, and probably won’t notice there is any poop at all, especially amidst what is infinitely more attention-worthy at that time-- like your baby being born. And when that baby is laid upon your chest and you hear those first cries, the last thing on anybody's mind will be whether or not you pooped a little.

Second, pooping during pushing is a sign that you are pushing effectively. You often hear birth attendants tell their patients to “push like you’re taking a huge poop.” Those are the muscles you need to engage to push out your baby. It’s a positive thing when you poop!

Third, if you are still really, really, stressed about pooping in labor, talk to your care provider about administering an enema in early labor. For some people, this gives them peace of mind about not having to think about poop at all.


4. Postpartum Poop. The first poop after birth can also be anxiety-producing for many. Your vagina has gone through a lot, and your perineum can feel sore as well. You may still have hemorrhoids, you may have minor tearing, or perhaps stitches.

If you had a Cesarean birth, pooping for the first time can also be uncomfortable. After a Cesarean, your first poop might take longer to arrive than with a vaginal birth. The muscles in your abdomen will be sore after surgery, which can make that first poop a not-so-fun experience.

Some care providers will prescribe a stool softener after delivery to make those first few bowel movements easier. Some will require you to have a bowel movement before you can go home, especially if you’ve had a Cesarean (true with any major surgery).

Staying hydrated after birth can help keep your stools loose. Waiting until you really have to go, and avoiding straining ,can be helpful as well.


5. Your poop situation will improve! The more you are able to rest and heal postpartum, the better you will be able to recover from birth. Eventually your poop won’t be such a source of tension in your life.

Your focus will shift to your baby’s poop, which will provide months (and years) of interest, antics, and discussion. If you don't talk much about poop now, just wait until you have a toddler. It's one of their favorite subjects.

I am a certified labor (birth) doula and professional postpartum doula serving Boise, Eagle, Meridian, Nampa and the greater Treasure Valley. 
​Do you have anxiety about anything in pregnancy or labor? Having a doula might help! 

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