Recently, I have been asked some questions by patients in the background: What should I do if I am constipated during pregnancy? Constipation and hemorrhoids, two anal and intestinal disorders, are problems that many women face when they are pregnant and have children. A lot of information shows that these two are high perinatal morbidity, which more than 85% of women face. After years of research, the medical community has discovered the reasons for the high incidence of constipation and hemorrhoids in women during this special time. Knowing the causes, you can also find the corresponding solutions. 1, early pregnancy: hormonal changes in the body cause constipation The first 3 months of pregnancy, the mother-to-be’s hormone levels will change dramatically, the endocrine system is undergoing a change. One of the most important changes is that the body secretes a large amount of hormones to relax the smooth muscle, which is to allow the growing fetus to have enough space to grow. As a side effect, the intestinal tract, a type of smooth muscle, is also relaxed, and bowel movement slows down, causing inevitable problems with bowel movements. It is recommended to use Chinese medicine prescriptions for dietary modification, eating more moistening, laxative and yin nourishing foods to reduce the burden on the intestines. The first choice is silver fungus, banana, pear and honey water. If it does not relieve, you can also try to solve it with drugs under the guidance of a doctor. 2, mid-pregnancy: fetal pressure on the abdominal cavity pelvic cavity caused by bowel obstruction This stage of the fastest growing fetus, growing fetus pressure on the mother’s abdominal cavity and pelvic cavity, the consequences of extrusion is the contents of the intestinal tract through the barrier, so constipation. Do more exercises to help the feces in the intestine to travel downward, such as walking is a good way. Combine this with the food regimen mentioned earlier for even better results. In some articles and health programs, it is often mentioned that rubbing the belly helps increase bowel movements and promote bowel movements. For ordinary people, this is a solution, but not for pregnant women as a special group. Especially in the early stages of pregnancy, the fetus in the mother’s body is not yet stable, rubbing the belly too much force, too many times, may cause adverse effects. 3, late pregnancy: the weight of the fetus causes structural changes in the pelvic floor Our internal organs rely on the pelvic floor for support, and during pregnancy weight will increase by about 15 kg, which means that the pelvic floor has to withstand these pressures. As we enter late pregnancy, the pressure becomes greater and the anatomical position and structure of the body will loosen and sag and change with the pressure, and there is a drop in organs such as the perineum. This can also cause defecation and urination disorders, and even urinary incontinence or difficulty in urination. Walking is still a good way for mothers-to-be at this stage. In addition to this, the doctor will teach the “chest and knee exercise” during the pregnancy test. This method is originally used for mothers who are not in the correct fetal position after 30 weeks of pregnancy, with the aim of correcting the fetal position through exercise. Clinical trials have found that this method is also helpful in promoting bowel movement and improving bowel movements. Please note that you should check with your obstetrician before practicing.