For constipation during pregnancy, it is recommended to first try natural remedies such as increasing fiber intake by eating fruits, vegetables, whole grains, and legumes, drinking plenty of water (at least 1.5 to 2.3 liters daily), and engaging in regular, moderate exercise like walking or prenatal yoga. Abdominal massages may also help stimulate bowel movements. If lifestyle changes are insufficient, some laxatives are considered safe during pregnancy but should be used under medical advice. Bulk-forming laxatives like psyllium (Metamucil) and calcium polycarbophil (FiberCon), stool softeners like docusate sodium (Colace), osmotic laxatives such as polyethylene glycol (MiraLAX), and magnesium hydroxide (Milk of Magnesia) are generally safe to use. Stimulant laxatives like senna and bisacodyl may be used occasionally but are usually not first choice due to a lack of extensive safety data and potential for dehydration or stimulating contractions. It is important to consult a healthcare provider before taking any medication for constipation during pregnancy to ensure safety for both mother and baby.
