Optimal Recovery

Your First Bowel Movement

Oh Sh*t, First BM After Baby

So you’ve had your baby, and the stress and pains of labor have passed. Your medical team monitors your first urination (like a hawk), possibly threatening to use a catheter if you do not pee soon. You eventually pee, one way or another, and find some relief again. Then, you’re reminded of the next task in that department—a bowel movement. How could one possibly fathom pushing a #2 after delivering a baby? You may be stretched, stitched, bruised, swollen, and now more must come out. The task is inevitable, but do not worry—it is possible to have a successful and smooth bowel movement after birth. Here are some things you can do prenatal and postpartum as you prepare for the next big push.

Before and After Birth: Tips to Make Pooping Easier

Eat and Drink the Right Things

  • Drink lots of water: Staying hydrated keeps your poop soft and easier to pass.

  • Eat soups, broths, and high-fiber foods: Try veggies like broccoli or carrots and fruits like apples or berries.

  • Add ground flax seeds: Sprinkle 2 tablespoons on smoothies, yogurt, or salads each day for extra fiber.

  • Try fermented foods: Foods like yogurt, sauerkraut, or kimchi can help your digestion.

Make Small Changes to Your Routine

  • Use a stool under your feet: A small step stool (like a “Squatty Potty”) at the toilet helps you squat, which is the best position for pooping.

  • Move gently: Short walks or light stretching can get things moving.

  • Support your perineum: If you’re sore or stitched up, gently press a clean pad or your hand against the area between your vagina and anus while pooping. It can feel less scary.

  • Relax and take your time: Breathe deeply and don’t rush.

Special Tip for C-Section Moms

  • Chew sugar-free gum: (without xylitol) for 30 minutes a few times a day (like 3, 5, and 7 hours after surgery). This can help wake up your bowels.

Medications to Help

  1. Fiber supplements: like Metamucil to add bulk to your stool.

  2. Magnesium-based laxatives: to soften things up.

  3. Stool softeners: like Colace to make pooping less painful.

  4. Other gentle laxatives: like Miralax or lactulose.

  5. Senna: a stronger laxative, but use it only for a short time and check with your doctor first, as it may not be safe for long-term use during or after pregnancy.

For more details on these medications, ask your doctor or check out our article “Bowel Movement Management and Medication Options” for Postpartum Poop Plans.

Cleaning Up After

Use a peri bottle: (a small squirt bottle with warm water) to gently clean the area instead of wiping. This is kinder to your sensitive skin.

Pat dry with a soft baby wipe: Skip toilet paper for the first few days or weeks while you heal.

Having Trouble?

Hemorrhoids or diarrhea:

These are common after birth. Read our article “First Week Potty Probs” for extra tips.

You’ve got this! Pooping after birth might feel daunting, but with these simple steps, you’ll feel more comfortable and confident in no time. Always talk to your doctor if you’re worried or something doesn’t feel right.

Disclaimer: The information on Mone does not replace professional medical assessment, diagnosis, treatment, or advice. Please seek medical advice from your physician or other qualified health care providers.  

References

Bharucha, A. E., Dorn, S. D., Lembo, A., & Pressman, A. (2013). American Gastroenterological Associationmedical position statement on constipation. Source: Gastroenterology, 144(1), 211–217.https://doi.org/10.1053/j.gastro.2012.10.029

Ertas, I. E., Gungor, T., Ozdogan, S., & Ozel, L. (2014). Effect of chewing gum on recovery of bowel function after cesarean section. Source: Journal of Maternal-Fetal & Neonatal Medicine, 27(18), 1927–1930. https://doi.org/10.1080/14767058.2018.1531122

Gibson, K. S., & Hameed, A. B. (2020). Postpartum recovery: What to expect after vaginal and cesarean delivery. Source: Obstetrics and Gynecology Clinics of North America, 47(4), 637–652. https://doi.org/10.1016/j.ogc.2020.08.008

National Institute of Diabetes and Digestive and Kidney Diseases. (2021). Source: Constipation. https://www.niddk.nih.gov/health-information/digestive-diseases/constipation

Rao, S. S. C., Qureshi, W. A., Yan, Y., & Johnson, D. A. (2022). Constipation, hemorrhoids, and anorectaldisorders in pregnancy. Source: The American Journal of Gastroenterology, 117(10S), 16–25.https://doi.org/10.14309/ajg.0000000000001962

Turawa, E. B., Musekiwa, A., & Rohwer, A. C. (2020). Interventions for preventing postpartum constipation. Source: Cochrane Database of Systematic Reviews, (8), Article CD011625.https://doi.org/10.1002/14651858.CD011625.pub3

Wald, A. (2016). Constipation: Advances in diagnosis and treatment. Source: JAMA, 315(2), 185–191.https://doi.org/10.1001/jama.2015.16994

Yenigul, N. N., Aydogan Mathyk, B., Aslan Cetin, B., Yazici Yilmaz, F., & Ayhan, I. (2020). Efficacy of chewinggum for improving bowel function after cesarean sections: A randomized controlled trial. Source: The Journal of Maternal-Fetal & Neonatal Medicine, 33(11), 1840–1845. https://doi.org/10.1080/14767058.2018.1531122

Mone Wellness Team

Mone Wellness Team

Brooke Orloff, Katherine Hom, and Savannah Miller make up the Mone team. Together, they have harnessed their diverse expertise in women’s health to create an all-encompassing wellness app that serves as the ultimate resource for postpartum mothers. Brooke Orloff, a certified Prenatal/Postpartum Doula and Lactation Counselor with a Bachelor’s in Sociology and Psychology, draws on her personal experience as a mother of three and her professional background to provide informed and practical support, guiding new parents through the challenges of pregnancy and postpartum transitions. Katherine Hom, MD, a board-certified OB/GYN with a medical degree certification in Women’s Functional and Integrative Medicine, bridges holistic and evidence-based care across a broad spectrum of modalities, offering integrative solutions like lifestyle, nutritional, and mind-body interventions to empower women during the postpartum period. Savannah Miller, a Registered Dietitian and Nurse with dual Bachelor’s degrees in Nutrition and Nursing, leverages her expertise as a former Division I athlete, nutrition coach, and women’s health specialist to deliver sustainable nutrition and lifestyle strategies tailored for mothers. Together, the Mone Team’s complementary strengths—Orloff’s first-hand experience in the perinatal realm, Hom’s obstetrics and integrative medicine expertise, and Miller’s nutrition and lifestyle coaching—form a comprehensive, evidence-informed, platform that addresses the variety of needs of postpartum women and their families.

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