Any Bao Zhi, director of the Obstetrics and Gynecology Department of Yunlin Christian Hospital, said that defecation is less than three days a week, or defecation every day, but it feels hard, difficult to defecate, unclean, and rarely defecate, which is constipation.
About 5 weeks pregnant, pregnant women will have constipation. After pregnancy, because of endocrine changes, including progesterone and muscle relaxants will increase, it is easy to relax smooth muscle and reduce intestinal peristalsis, which will easily lead to constipation. In addition, the reduction of intestinal peristalsis will increase the absorption of water and also lead to constipation.
As for the late pregnancy, why is constipation easier? Some mothers have no problem defecating in the early stage of pregnancy, and it is difficult to defecate in the late stage of pregnancy, mainly because the uterus becomes bigger and oppresses the intestines, the stomach becomes bigger, the abdomen can't exert its strength as before, and the pelvic muscles are slack, which increases the difficulty of promoting defecation. If you have constipation before pregnancy, the situation will be more serious after pregnancy.
Too hard defecation will increase the chance of premature birth?
Mm-hmm. Will overexert increase the chance of premature delivery? Director He Baozhi said that constipation is not listed as a cause of premature delivery in medicine, but if pregnant women already have some problems, such as placenta previa, cervical atresia, habitual premature delivery and so on. Or pregnant with twins, too much force during defecation may also increase the chance of premature birth or premature water breakthrough.
It's too big to push, isn't it Pregnant women constipation has a coup! Constipation during pregnancy, beware of hemorrhoids.
Constipation during pregnancy will increase the chance of getting hemorrhoids. Hemorrhoids are caused by small subcutaneous varicose veins near * * *, which will expose the mouth of * * * when it is bigger. The main reason is that people with constipation have to exert force every time they defecate, which easily affects the expansion of these venules and increases the risk of hemorrhoids. Some people, due to vascular compression, force the blood return to deteriorate, which in turn causes varicose veins in the lower body, and the occurrence of hemorrhoids is the same.
Up to 80% of pregnant women will have constipation after pregnancy, which is much higher than the average person. Among these pregnant women with constipation, about 76% will have hemorrhoids, which is equivalent to two-thirds of pregnant women with constipation. However, pregnant mothers don't have to worry too much, as long as they pay attention to the details of life and exercise more, such as hip lifting exercise, which can make blood circulation better and prevent hemorrhoids from happening again.
In case constipation causes hemorrhoids, do you need treatment? It depends on the severity. Hemorrhoids are generally painless. The most common symptom is bleeding. Larger hemorrhoids may come out of the body and feel pain. If you have pain, please ask a doctor to prescribe ointment to relieve the pain. The clinic will do health education first, and start with adjusting your life and eating habits to relieve constipation. If it doesn't get better, you need to use ointment again, which is more serious and needs surgery. It is recommended to ask a surgeon to evaluate whether surgery is needed after confinement. Hemorrhoids can be divided into one, two, three and four grades. According to the severity of symptoms, generally third-and fourth-grade hemorrhoids should be operated, and mild hemorrhoids can generally be improved with ointment.
Although the constipation rate of pregnant women is not low, it will progress to a serious degree (such as acute abdominal pain and intestinal obstruction). ). The older you get, the easier it is to be constipated, and most pregnant women are younger, so it won't be too serious.
To improve and prevent constipation during pregnancy, we should start with life, diet and exercise.
To stay away from constipation, we should start with living habits, diet and exercise, especially for pregnant women with constipation before pregnancy.
1. Get into the habit of drinking water before getting up in the morning, and take enough water (2000 ~ 2500 c.c every day) so that the stool will not be hard.
2. Try to defecate regularly in the morning.
It is best to go to the toilet as soon as you defecate. Many office workers are busy with work and endure. If you have time, you can't solve it. Over time, you will fall into the dilemma of constipation.
Dietary advice is to eat vegetables and fruits every day. Vegetables rich in fiber are: radish, cauliflower, celery, bean sprouts and so on. Fruits suggest eating more papaya, bananas, pitaya and so on. Cereals should also be taken in moderation, including wheat and barley; In addition, eating natural foods such as enzymes, lactic acid bacteria and yogurt helps digestion. As for foods to be avoided, including spicy and fried foods, we should touch them less, and indigestible foods (such as glutinous rice) should be reduced as much as possible. If you have constipation, eating these foods is easy to bloat and feel uncomfortable.
Moderate exercise also helps. Except for pregnant women with twins and placenta previa, it is not recommended that pregnant women can arrange exercise, such as walking, yoga, prenatal exercise and so on, which are very helpful to relieve constipation. Usually, nurses will give health education to pregnant women on prenatal exercise, such as knee-chest horizontal exercise, leg lifting exercise, cross-legged exercise, etc., which can reduce the chances of constipation and hemorrhoids for expectant mothers.
It's too big to push, isn't it Pregnant women constipation has a coup! If you can't improve, see a doctor instead of buying medicine yourself.
If you follow the above life advice and dietary precautions, constipation has not improved. It is best to seek medical help from a doctor. Never buy laxatives and intestinal lavage yourself, which will increase the risk of premature delivery. It is more dangerous for pregnant women who are habitually premature to take medicine by themselves. For pregnant women with constipation, doctors will not prescribe laxatives. If you are really uncomfortable, conservative treatment is generally the main treatment, and laxatives (magnesium oxide) will be given when necessary, which will not cause adverse effects on the fetus.
Whether pregnant or not, it is not recommended to buy medicine frequently to solve constipation. The most important thing is to change the way of life in order to solve it fundamentally. Director He Baozhi once again reminded that the most important thing is to establish a good lifestyle, develop the habit of defecation in the morning, drink more water, eat more fruits and vegetables, and exercise properly, which can reduce the chance of constipation.
He baozhi
Education: First Medical College of Yangon, Myanmar Experience: training of obstetricians and gynecologists in Taipei Veterans General Hospital, obstetricians and gynecologists in Taipei Boren Hospital, attending obstetricians and gynecologists in Taoyuan Hongzhang United Clinic, eugenics health care physician in the Department of Health of the Executive Yuan, specialist in obstetrics and gynecology in the Republic of China, member of perioperative medical association of the Republic of China, member of ultrasonic society of the Republic of China, and member of laser medical association of the Republic of China.
Present position: Director of Obstetrics and Gynecology, Yunlin Christian Hospital