Safe Laxatives During Pregnancy: All You Need to Know
Constipation during pregnancy is very common.
According to NCBI, constipation occurs in around 38% of pregnant women.
The changes in hormone levels during pregnancy can slow down the digestive process.
It can be very uncomfortable and challenging but, Laxatives can help provide relief and comfort.
However, It is essential to take laxatives cautiously during pregnancy to minimize possible risks for both the mother and the fetus.
This article will explore the safe Laxatives that can be used during pregnancy.
What Laxatives are safe during pregnancy
Laxatives are safe for pregnant women when used under a doctor’s supervision.
Therefore, it is essential to consult a specialist before taking any medication during pregnancy.
Some of the safe over-the-counter laxatives during pregnancy are:
Bulk-forming agents
These laxatives enrich the stool with “soluble” fiber.
As a result, the stool absorbs more water. It leads to larger, softer stools.
The bigger stools aid in the contraction of the gut (intestines), and this pushes the stools away.
Bulk-forming laxatives are the safest types of Laxatives and are generally considered the first line of treatment for constipation.
The medications might take 48 – 72 hours to work and are not for acute relief.
Some of the bulk-forming laxatives include
- Calcium polycarbophil (FiberCon)
- Methylcellulose (Citrucel)
- Psyllium (Metamucil)
It has side effects like cramping, bloating, and gas.
Osmotic laxatives
Osmotic laxatives are considered the second-line therapy when bulk-forming agents do not work correctly for constipation during pregnancy.
Osmotic laxatives work by drawing water from the rest of the body and into the bowel.
This softens the stool and makes it simpler to pass.
Osmotic Laxatives can also take 2-3 days to work.
Some of the Osmotic Laxatives include:
- Macrogol (Movicol, Laxido, CosmoCol, Molaxole, and Molative)
- Polyethylene glycol (Miralax) is considered safe during pregnancy by the American College of Obstetricians and Gynecologists.
- Lactulose (Duphalac and Lactugal)
Osmotic laxatives can have side effects like flatulence and bloating.
Stool Softeners
Stool softeners lower the surface tension of the stool mass, making it easier for water to get into the stool and pass.
Docusate (Colace) is a stool softener most commonly recommended by doctors for constipation during pregnancy.
Stool softener can have side effects like nausea, pain or diarrhea.
Lubricant Laxatives
This type of laxative adds a slippery coating to the stools.
This facilitates the passage of stools from the body.
Glycerin suppositories are one of the lubricant laxatives, and it helps lubricate the anus.
Lifestyle changes that can help
Some lifestyle changes can help in getting rid of constipation.
Doctors recommend these changes before introducing any laxatives, as they might have side effects.
Some of the steps include:
- Increasing the number of dietary fibers
- Increasing the amount of fluid
- Moderate exercise
- Prenatal vitamins
Takeaway
Constipation is a common problem during pregnancy.
Fortunately, some safe laxatives can be used during pregnancy.
Bulk-forming agents, osmotic and lubricant laxatives, and stool softeners can help eliminate constipation during pregnancy.
Laxatives can also have side effects like cramps, bloating, and dehydration.
Using laxatives excessively can also result in “forgetting” how to push stool through your digestive system.
Therefore, one should use laxatives cautiously and for a shorter period.
Lifestyle changes can also be made to get relief from constipation during pregnancy.
Consult a specialist before using any laxatives during pregnancy.
Frequently Asked Questions
Are all laxatives safe during pregnancy?
Not all laxatives are safe during pregnancy. It is essential to consult a specialist before using any laxatives during pregnancy, and it should be used cautiously.
Are laxatives safe during the first trimester of pregnancy?
Some laxatives, like Bulk-forming, stool softeners, and osmotic laxatives, are safe to use during the first trimester of pregnancy. But it is essential to consult with a specialist before using any laxatives.
Is MiraLAX pregnancy safe?
Yes, Miralax is considered safe during pregnancy. The American Gastroenterological Association has approved it as a safe and effective laxative to use during pregnancy as long as it is taken only in the recommended doses.
Can I take Dulcolax when pregnant?
Yes, Dulcolax is safe to take while pregnant. It is a type of stool softener but it is always recommended to be used in a moderate amount or it can cause side effects like bloating or cramping.
Can I take Ex-lax while pregnant?
Ex-lax can be used during pregnancy but it should be used moderately and with caution. It is a stimulant laxative and can cause side effects like diarrhea. It should be used for the short term and only with an experts recommendation.
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