Interventions for treating constipation in pregnancy

Rungsiprakarn, Phassawan; Laopaiboon, Malinee; Sangkomkamhang, Ussanee S; Lumbiganon, Pisake; Pratt, Jeremy J

doi:10.1002/14651858.cd011448.pub2

Cited by 31 publications

(30 citation statements)

References 40 publications

(2 reference statements)

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“…The recommended practices for reducing the severity of constipation during pregnancy are often to increase the amount of fibrous food and fluid intake, to exercise, and thus to overcome the problem without taking laxatives. 1,18 However, this solution may be inadequate to provide benefits for some pregnant woman with constipation. Pharmacological interventions are recommended when non-pharmacological interventions fail.…”

Section: Discussionmentioning

confidence: 99%

“…Pharmacological interventions are recommended when non-pharmacological interventions fail. 18 Providing water flow to the anal region via bidet nozzle softens anal tissue and eases defecation by creating a massage effect on anal tissue. This intervention can be an effective method of easing the defecation of individuals in their own homes paying attention to hygiene rules.…”

Section: Discussionmentioning

confidence: 99%

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The Effect of Bidet Use on Severity of Constipation and Quality of Life Among Pregnant Women

2020

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Background Constipation is a common problem in pregnancy. This study aims to elucidate the efficacy of using a bidet before defecation to reduce the severity of constipation and improve the quality of life in pregnancy. Methods The sample consisted of an experimental group (n = 30) and a control group (n = 30), a total of 60 pregnant women. Randomization was performed using the pitch-and-toss method from simple probability randomization methods. The research data were collected using the Personal Information Form, the Constipation Assessment Scale for Pregnancy, and the Constipation Quality of Life Scale. Results There was a statistically significant difference between the pregnant women's mean scores on the Constipation Assessment Scale for Pregnancy due to the intervention of bidet before defecation. Although the members of the intervention group had severe constipation at first, they reported only "some problems" on defecation after the intervention. In addition, statistically significant improvements were observed in the intervention group via all subscales of the Constipation Quality of Life Scale except the satisfaction subscale. Conclusion Providing pregnant women with training on constipation and information about how to control constipation using a bidet is very important in terms of reducing the severity of constipation, enabling them to feel better and continue their daily activities, and thus to improve their quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effect of Bidet Use on Severity of Constipation and Quality of Life Among Pregnant Women

2020

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“…The prevalence of constipation in pregnancy ranges from 11% to 44% [36] and has been associated with a decrease in the quality of life for pregnant women. Dietary supplementation composed of FOS, Lactobacillus , and Bifidobacterium has been shown to increase stool frequency in constipated adult women [32].…”

Section: Discussionmentioning

confidence: 99%

Maternal Prebiotic Ingestion Increased the Number of Fecal Bifidobacteria in Pregnant Women but Not in Their Neonates Aged One Month

Jinno¹,

Toshimitsu²,

Nakamura³

et al. 2017

Nutrients

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Fructooligosaccharides (FOS) can selectively stimulate the growth of bifidobacteria. Here, we investigated the effect of maternal FOS ingestion on maternal and neonatal gut bifidobacteria. In a randomized, double-blind, placebo-controlled study, we administered 8 g/day of FOS or sucrose to 84 women from the 26th week of gestation to one month after delivery. The bifidobacteria count was detected using quantitative PCR in maternal (26 and 36 weeks of gestation) and neonatal (one month after delivery) stools. Maternal stool frequency was recorded from 24 to 36 weeks of gestation. The number of fecal Bifidobacterium spp. and Bifidobacterium longum in the FOS group was significantly higher than that in the placebo group at 36 weeks of gestation (2.7 × 1010/g vs. 1.1 × 1010/g and 2.3 × 1010/g vs. 9.7 × 109/g). In their neonates, these numbers did not differ between the groups. Also, stool frequency in the FOS group was slightly higher than that in the placebo group two weeks after the intervention (1.0 vs. 0.8 times/day), suggesting a potential constipation alleviation effect. In conclusion, the maternal FOS ingestion showed a bifidogenic effect in pregnant women but not in their neonates.

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“…The most common consequences of long term constipation are hemorrhoids and anal fissures [5]. Several factors can be mentioned as potential reasons for the symptom: slower gastrointestinal (GI) transit time, higher plasma level of progesterone and mechanical obstruction [6].…”

Section: Introductionmentioning

confidence: 99%

Herbal laxatives and antiemetics in pregnancy

Samavati

Ducza

Hajagos-Tóth

et al. 2017

Reproductive Toxicology

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a b s t r a c tConstipation appears in the 2nd and 3rd trimester of pregnancy, while nausea is the strongest in the 1st trimester. This review summarizes the applicability of herbal laxatives and antiemetics in pregnancy.A human study has shown that flax oil as laxative is safe from 2nd trimester. Human data is not available about the rhubarb, but animal studies reveal that its emodin content induces fetal abnormalities. Fenugreek induces teratogenic malformation both in human and animals. Senna seed is proved as a safe laxative in pregnancy. The antiemetic ginger is safe during 1st trimester, but it reduces the gestational period when applied from the 2nd trimester. Cannabis induces fetal neurological disorders while fennel can shorten the gestational age.There is herbal alternative for laxative therapy (senna) for the whole length of pregnancy, but nausea and vomiting might be reduced by herbal medicine (ginger) safely in the 1st trimester, only.

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Interventions for treating constipation in pregnancy

Cited by 31 publications

References 40 publications

The Effect of Bidet Use on Severity of Constipation and Quality of Life Among Pregnant Women

The Effect of Bidet Use on Severity of Constipation and Quality of Life Among Pregnant Women

Maternal Prebiotic Ingestion Increased the Number of Fecal Bifidobacteria in Pregnant Women but Not in Their Neonates Aged One Month

Herbal laxatives and antiemetics in pregnancy

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