# Pregnancy Constipation

Source: https://www.pregnancypowerhour.com/conditions/constipation
Last updated: 2026-07-15

> Pregnancy constipation, or slow digestion, is a common experience that can be managed with evidence-based approaches and support from your care team.

Pregnancy constipation, or slow digestion, is a common experience for many during pregnancy, often bringing discomfort and a feeling of sluggishness. It's a topic that comes up frequently in early pregnancy consultations, and understanding what's happening in your body can bring a lot of clarity.

## What it is

Slow digestion is a very common part of pregnancy, affecting many people across all trimesters and even into the postpartum period. It's often most noticeable in the first trimester, and then again later in the third. The primary driver behind this is the hormone progesterone, which surges during pregnancy and has a natural effect of slowing down gut motility. This means things just don't move through your digestive system as quickly as they used to. Additionally, if you're taking iron supplements, perhaps for [Iron-Deficiency Anemia in Pregnancy](/conditions/anemia), these can sometimes contribute to constipation. Later in pregnancy, the growing uterus can also exert physical pressure, further impacting bowel regularity.

## What it tends to feel like

Experiencing slow digestion can feel different for everyone, but common sensations include infrequent bowel movements, difficulty passing stool, or a feeling of incomplete emptying. You might notice your stools are harder or that you're straining more than usual. This can lead to general abdominal discomfort, bloating, and a feeling of heaviness. It's a common source of unease, especially when you're already navigating so many other changes in your body, like the fatigue or nausea that often accompanies early pregnancy.

## What the evidence says helps

When it comes to managing slow digestion, the good news is there are several evidence-based approaches you can explore. The first line of intervention, widely supported by organizations like ACOG and the NHS, focuses on dietary and hydration adjustments. Aiming for adequate fiber intake, around 25–30 grams per day, and ensuring you're drinking at least eight glasses of water daily can make a significant difference. These simple shifts create a foundation for more regular and comfortable bowel movements.

If dietary changes aren't quite enough, there are safe over-the-counter options. Docusate sodium, often known by the brand name Colace, is widely considered safe across all trimesters. Fiber supplements like psyllium husk (Metamucil) and methylcellulose (Citrucel) are also safe options to gently increase your fiber intake. For more stubborn cases, polyethylene glycol (Miralax or Movicol) is considered safe and effective. Lactulose is another option that's considered safe during pregnancy. Stimulant laxatives, such as senna or bisacodyl, are typically reserved for short-term use when other measures haven't provided relief. Your provider can help you weigh these options and decide what might be most suitable for you.

## Working with your care team

Navigating any pregnancy symptom, even common ones like slow digestion, is a collaborative process. Your care provider is your best resource for personalized guidance and to rule out any other concerns. It's always a good idea to discuss any discomfort you're experiencing, especially if it's persistent or severe. They can help you understand if your iron supplement might be contributing or if there are other factors at play. Remember, you get to decide what feels right for your body, and your care team is there to support you in making informed decisions. Sometimes, what feels like digestive discomfort might also be related to other pelvic sensations, so open communication with your provider is key. For example, some people find that addressing their digestion can even help with other discomforts, similar to how managing symptoms like [Restless Legs in Pregnancy](/conditions/restless-legs) or understanding the signs of a [UTI in Pregnancy](/conditions/uti-pregnancy) requires a collaborative approach with your healthcare team.