During pregnancy, iron supplements are usually prescribed to prevent and treat iron deficiency anemia, which is crucial for the health of both the mother and the fetus. Although these grants play a crucial role in ensuring adequate iron levels, they may also have some side effects that can persist during pregnancy and childbirth. Postpartum constipation can cause discomfort and affect a new mother's health and daily routine. Understanding the link between an iron supplement during pregnancy and constipation helps you handle symptoms and improve the welfare of the normal mother in this critical stage.
What is Postpartum Constipation?
Postpartum constipation refers to the difficulty of passing stool or urinary incontinence after the birth of a child. This is a common problem, which causes many new mothers to experience many factors, including hormonal imbalances, low physical activity, dehydration, and distribution effects on pregnancy and the digestive system.
In addition, pain or discomfort from the birth of a child, especially after vaginal delivery or caesarean section, can hesitate to stress during intestinal movements. Postpartum constipation can increase the risk of discomfort, inflammation, and even hemorrhoids, which can be effectively addressed to support a smooth improvement after birth.
Causes of Postpartum Constipation
Hormonal Changes
During pregnancy, the body produces high levels of progesterone, a hormone that helps maintain pregnancy but also relaxes smooth muscles, including those in the digestive system. This rest slows the stool and often leads to constipation. Even after delivery, the hormonal shift does not occur immediately. The dull effects of progesterone can continue to affect bowel function, making it difficult for new mothers to pass stool easily.
Painkillers
After giving birth, especially when it comes to caesarean sections or stiff vaginal delivery, women are often prescribed to cope with the discomfort of painkillers. Medicines such as opioids are effective for pain, but have known side effects that reduce bowel movements, which may lead to irritable bowel syndrome. This means that the intestinal contractions are less effective, which can reduce the passage of stools through the colon, resulting in constipation.
C-Section Recovery
A caesarean section is an essential surgical process, and recovery includes both physical recovery and internal adjustment. The use of anesthesia during surgery can temporarily suppress normal bowel function. Additionally, pain and limited mobility after surgery can hinder movement, which is essential for stimulating regular bowel movements. As a result, women who undergo a C-section often experience delays or difficult stools.
Iron Supplements
The iron dose is recommended after birth to replace the blood lost during childbirth and prevent postpartum anemia. However, iron may have constipating effects, especially when taken in high doses. It tightens the stool and reduces the frequency, making it difficult to pass. This effect is more pronounced if fluid and fiber intake have not increased accordingly.
The Pelvic Floor Changes
Delivery, especially vaginal discharge, can weaken or spread the muscles of the pelvic floor. These muscles play a crucial role in controlling bowel movements. If they are stressful or damaged during delivery, it can cause difficulties in coordinating the stool process. This can make the passing stool more challenging and contribute to incomplete clearance or feelings of constipation.
Symptoms of Postpartum Constipation
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Get less than three times a week.
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Stools that are hard, dry, or difficult to pass.
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To pass the stool, there is a need to bear down or exert.
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A sensation that has not completely emptied the intestine.
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Feels complete, tight, or swollen in the stomach.
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Increase in the release of gas or inflammation due to slow digestion.
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Discomfort or pain in the rectal region during or after defecation.
Why is Iron Prescribed During Pregnancy?
Iron is determined during pregnancy to support the growing blood production required to deliver oxygen to both the mother and the growing baby. As the body's requirement for iron increases, especially during the second and third trimesters, iron supplements help prevent iron deficiency anemia. This condition can lead to complications such as fatigue, weak immunity, and low birth weight or preterm delivery. Ensuring adequate iron intake promotes healthy growth and reduces the risks associated with pregnancy.
Connection Between Iron Supplements and Postpartum Constipation
Iron Slows Bowel Movements
Iron supplements can slow intestinal muscle contractions, which can cause constipation.
Strict Stools
Unsolubilized iron in the intestine can bind with other substances and make the stool harder.
Changed Intestinal Vegetation
Iron overload in the intestines can disrupt the balance between bacteria and potentially lead to digestive problems, including constipation.
Low Water Intake
New mothers often struggle to drink enough fluids, and iron supplements require sufficient moisture to be properly absorbed during digestion.
Postpartum Change
Hormonal changes, reduced physical activity, and weakened abdominal muscles can slow down digestion; iron supplements can also impair it.
Tips to Manage or Prevent Postpartum Constipation
Tip 1: Drink at least 8-10 glasses of water daily to help soften stools and promote healthy bowel movements.
Tip 2: Bring a lot of fruits, vegetables, whole grains, and legumes into your diet to add bulk to your stool.
Tip 3: Ask your doctor to switch to an iron supplement, such as an iron bisglycinate or slow-release form, which can help alleviate low digestive problems.
Tip 4: Doctors often recommend stools Softner (eg Dockut-Satrium) postpartum, especially when taking iron or getting after C-section or vaginal tears.
Tip 5: To stimulate movement, try light exercises or small trips (as recommended by your doctor).
Conclusion
The iron supplements taken during pregnancy are necessary to prevent anemia and support fetal development. However, they are usually associated with gastrointestinal side effects, especially constipation. This effect can remain during the postpartum period, especially when the iron dose is continued after delivery to restore the maternal iron level. During pregnancy and subsequent hormonal changes, low physical activity, dietary changes, and subsequent constipation can contribute. Although iron is important for maternal and infant health, its possible effect on intestinal habits should not be ignored. Handling dosage, hydrating, eating fiber-rich foods, and being active can help reduce the risk of postpartum constipation associated with iron doses.
FAQ’s
Does Iron Supplementation Cause Constipation?
Iron in the digestive system can be difficult. This slows the speed of the intestinal muscles and can reduce the water content of the stools, making them difficult to pass.
How Long Does Postpartum Constipation Last Due To The Iron Dose?
It usually lasts for a few weeks after birth, sometimes for a few days. However, if not managed properly, it can persist for a long time, especially with continuous iron intake.
What Can I Do To Remove Constipation Due To Iron Supplements?
Drink plenty of water, eat high-fiber foods (such as fruits, vegetables, and whole grains), be physically active, and consider taking a stool softener with your doctor's advice.
Should I Stop Taking Iron Supplements? If I Have Constipation, What Do I Do After Birth?
No, don't stop without consulting a doctor. Iron is essential for recovery from blood loss associated with delivery. Discuss with your doctor the option of switching to a milder formulation or adjusting the dose.
Is There An Iron Dose That Is Less Likely To Cause Constipation?
Yes, some formulations, such as ferrous bisglycinate or liquid iron supplements, can cause fewer digestive system issues compared to traditional iron pills.
