Post-natal constipation: what should you know?

Post-natal constipation is common and can improve with fluids, fibre, gentle movement and suitable treatment. Bowel movements may be affected by reduced activity, changes in routine, pain, iron tablets, dehydration or fear of straining after stitches. Recovery differs after vaginal birth and caesarean birth.

Constipation may mean passing hard stools, going less often than usual, straining, bloating or feeling that the bowel has not emptied. It can occur while you are recovering from birth, especially when food, sleep and toileting routines are unsettled. Read more about [Constipation](/symptoms/constipation/). Persistent symptoms can also need assessment for problems such as [Dehydration](/conditions/dehydration/) or an underactive thyroid called [Hypothyroidism](/conditions/hypothyroidism/).

Drink regularly unless a clinician has advised fluid restriction. Add fibre gradually through fruit, vegetables, whole grains and pulses, and take short walks when your body allows. Respond to the urge to open your bowels; a footstool may make positioning more comfortable. Do not stop prescribed iron or pain medicine without advice. A pharmacist, midwife or doctor can recommend a stool softener or laxative compatible with breastfeeding and your recovery. [Nutrition Counselling](/treatments/lifestyle-and-wellness/nutrition-counselling/) may help if food choices are difficult.

Seek prompt medical advice for severe or worsening abdominal pain, repeated vomiting, a swollen abdomen, inability to pass gas, heavy rectal bleeding, fever, or feeling faint. Contact your maternity team if constipation is painful around a tear, episiotomy or caesarean wound, or if it is not improving with simple measures. A clinician can check medicines, hydration and other causes, including [Irritable Bowel Syndrome](/conditions/irritable-bowel-syndrome/) or [Diverticular Disease](/conditions/diverticular-disease/).

Ask which bowel medicine is suitable while breastfeeding, whether iron treatment can be adjusted, how much fluid is appropriate for you, and whether your wound or pain relief could be making stool harder.