The MamasteFit Podcast podcast

166: Pregnancy Constipation: Why It Happens and How to Go Without Struggling

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Roxanne, a certified nurse midwife, breaks down pregnancy (and postpartum) constipation—aka a “traffic jam” of poop that gets harder the longer it sits because your body absorbs the water (think Play-Doh left out overnight). She explains common causes: progesterone slowing GI motility, the growing uterus and posture changes creating compression, supplements (especially iron), and often-overlooked pelvic floor tension—particularly in the posterior pelvic floor near the rectum. Key tips include: don’t strain (hello hemorrhoids and fissures), use better toilet positioning (Squatty Potty/feet elevated, hips <90°), and use breathing (inhale to relax/bulge, exhale to bear down without holding your breath). She also recommends movement, hydration (about 80–100 oz/day), fiber, magnesium, and if needed stool softeners/laxatives (e.g., Colace, Mag 07, MiraLAX) with provider guidance.


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00:00 Pregnancy Constipation Intro

00:43 What Constipation Means

02:03 Why Pregnancy Causes It

03:55 Pelvic Floor Connection

06:34 No Straining Basics

07:14 Toilet Posture Tips

08:13 Breathing to Poop

09:16 Movement Hydration Fiber

10:49 Magnesium Softeners Laxatives

12:21 Release Posterior Pelvic Floor

18:57 Prevent Labor Postpartum Issues

19:54 Wrap Up Resources


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