# Pregnancy Constipation in the second trimester

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

> In the second trimester, pregnancy constipation often becomes more manageable with focused hydration and increased fiber, helping to ease discomfort as your body continues to adapt.

Pregnancy constipation, or slow digestion, is a common experience throughout pregnancy, and it can shift in how it feels and what helps as you move into the second trimester. While the underlying causes remain similar, this window often provides an opportunity to find a more comfortable rhythm.

## Why it shows up this trimester

The hormone progesterone continues to play a significant role, relaxing smooth muscles throughout your body, including those in your digestive tract. This naturally slows things down. As your uterus grows, it can also begin to exert some pressure on your intestines, which might contribute to feelings of fullness or sluggishness. Additionally, many parents start or increase iron supplementation in the second trimester, which is a common and effective way to prevent anemia but can sometimes be a direct contributor to constipation for some individuals. Understanding these factors can bring a sense of clarity to what you're experiencing.

## What it tends to feel like now

With morning sickness often subsiding, you might notice the physical sensations of slow digestion more distinctly. This can include infrequent bowel movements, stools that are harder or more difficult to pass, and a general feeling of bloating or discomfort. You might also feel less hungry or full more quickly. The good news is that for many, the acute nausea of the first trimester has passed, making it easier to focus on supportive strategies without the added challenge of food aversions.

## What helps in this window

One of the most impactful strategies in the second trimester is consistent hydration. Aim for plenty of water throughout the day, and consider adding warm liquids like herbal tea or warm lemon water. Increasing your fiber intake through a variety of whole foods — think fruits, vegetables, whole grains, and legumes — can also be incredibly supportive. Gentle movement, like a daily walk, can encourage bowel regularity. Exploring different types of fiber and finding what feels best for your body is a collaborative process. Some people find that magnesium citrate, discussed with their provider, can also offer gentle support for regularity.

## Working with your care team

Open communication with your OB or midwife is always valuable. If constipation is causing significant discomfort, pain, or if you're concerned about any changes, they are your best resource for guidance. They can help you assess if your iron supplement might need adjustment or if other gentle options are appropriate for your specific situation. Remember, you get to decide what feels right for your body, and your care team is there to support your informed decisions.