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Pregnancy Constipation in the second trimester | Pregnancy Power Hour
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Condition · second trimester · mild

Pregnancy Constipation in the second trimester

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.

2 min read

Quick answer

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.

On this page
  1. Why it shows up this trimester
  2. What it tends to feel like now
  3. What helps in this window
  4. Working with your care team

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.

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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.

Common questions

Is it normal for constipation to feel different now that morning sickness has passed?+

Yes, with less nausea, you might notice the physical discomfort of constipation more distinctly. It's also a common time for iron supplements to start, which can influence bowel habits. Your provider can help you explore gentle strategies.

Brittany Nance

“Pregnancy is under-supported at every week. This is the kind of clear, calm guidance I give my one-on-one clients — and the questions worth taking back to your provider.”

Brittany Nance · Pregnancy Wellness Consultant · full-spectrum doula

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Written by Brittany Nance, Pregnancy Wellness Consultant· BADT Full Spectrum Doula · Founder, Pregnancy Power Hour
Last reviewed July 15, 2026

This is evidence-informed education from a birth-doula perspective, not medical advice. Always discuss your individual situation with your prenatal care provider.

On this page

  1. Why it shows up this trimester
  2. What it tends to feel like now
  3. What helps in this window
  4. Working with your care team

Keep reading

  • RelatedPregnancy Constipation in PregnancyPregnancy constipation is a common experience for many, often starting early and sometimes returning later, reflecting your body's adaptations.
  • RelatedFiber in the second trimesterIn the second trimester, fiber is key for supporting comfortable digestion, managing blood sugar, and ensuring sustained energy as your body continues to grow.
  • RelatedPregnancy Gas and Bloating in PregnancyPregnancy gas and bloating, a common and mild symptom affecting most pregnancies, often begins early due to progesterone's effect on digestion and can be eased with dietary adjustments, hydration, gentle movement, and provider-approved options.
  • RelatedMagnesium in the second trimesterIn the second trimester, adequate magnesium intake can be particularly helpful in addressing common discomforts like leg cramps and constipation.
  • RelatedFiber in the third trimesterIn the third trimester, adequate fiber intake becomes especially crucial to gently support digestion and manage constipation, often exacerbated by the growing uterus.
  • RelatedFiber in the first trimesterIn the first trimester, as progesterone levels rise and digestion slows, prioritizing fiber and consistent hydration is key to navigating common discomforts and supporting steady energy.