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What to Expect: Your First Bowel Movement After Childbirth

  • Auria Pelvic Health
  • Oct 3, 2024
  • 3 min read

After the monumental experience of childbirth, many new mothers have questions about what to expect during their recovery, including their first bowel movement. While the focus is often on the baby, understanding the changes your body undergoes is crucial. At Auria Pelvic Health, we want to guide you through this process, helping you manage the transition smoothly and comfortably.


woman with grey and pink clothing on toilet holding toilet paper

Understanding Your Postpartum Bowel Movement

Why the First Bowel Movement Can Be Challenging

After delivering your baby, your body has undergone significant physical changes. The muscles supporting your bowels have been stretched and weakened, and pain medications may contribute to sluggish bowel movements. It’s important to recognize that your digestive system may take some time to return to its pre-pregnancy state.


Factors Affecting Your First Postpartum Bowel Movement


1. Episiotomies and Tears

During delivery, some women experience tears or may have an episiotomy—a surgical cut made to widen the vaginal opening if necessary. Tears are categorized into degrees:


  • 1st-degree tears are minor and do not require stitches.

  • 2nd-degree tears extend through the vaginal muscles.

  • 3rd-degree tears involve the vaginal muscles and the anal sphincter.

  • 4th-degree tears extend into the rectum.

woman and two doctors getting ready for birth

Severe tears and episiotomies can create apprehension about bowel movements. Although it’s understandable to worry about potential pain or tearing, doctors generally find that such concerns are unlikely to cause significant issues if proper care is taken.


2. Postpartum Care for Tears and Episiotomies

To facilitate healing and manage discomfort:


  • Stay Hydrated: Drink at least 64 ounces (8 cups) of water daily. A warm glass of water with lemon can help kickstart your digestive system.

  • Eat a Balanced Diet: Incorporate fresh fruits, vegetables, and whole grains to aid bowel regularity. Dried prunes and figs are especially helpful.

  • Avoid Constipating Foods: Limit intake of white rice, refined foods, and chocolate.

  • Consider Stool Softeners: Use them if recommended by your healthcare provider.

  • Practice Good Hygiene: Wipe from front to back, use a peri bottle to cleanse the area with warm water, and apply medicated wipes for soothing. Sitz baths can also help alleviate discomfort.


Breastfeeding and Bowel Movements

woman holding baby with flowers, a glass, and a water bottle in the front

Breastfeeding can lead to increased fluid loss, making dehydration a concern. Dehydration can contribute to constipation. To maintain adequate hydration:


  • Drink Water Regularly: For every ounce of breast milk produced, aim to drink an additional ounce of water. A typical guideline is to consume 80 ounces (10 cups) of water daily if breastfeeding.

  • Stay Hydrated with Electrolytes: Coconut water and diluted juice can provide additional hydration and electrolytes.


Cesarean Sections and Postpartum Recovery

Woman with c-section scar holding a baby

Recovery from a C-section can affect bowel movement timing due to the abdominal surgery involved. Typically, women who have had a C-section may have their first bowel movement within 3 days.


Here are some tips to ease this process:

  • Chew Sugar-Free Gum: This can help stimulate bowel function.

  • Use a Pillow for Support: Splinting your abdomen with a pillow can reduce pain while bearing down.

  • Elevate Your Feet: Using a “potty” stool can position your pelvis to facilitate smoother bowel movements.

  • Use a glycerin suppository, inserted into the rectum


 

The first bowel movement after childbirth can be a daunting experience, but with the right approach, it can be managed effectively. At Auria Pelvic Health, we encourage you to stay hydrated, maintain a healthy diet, and seek support if needed. If you have concerns or experience persistent issues, don’t hesitate to reach out to our team for guidance and assistance.


Remember, your recovery journey is unique, and taking care of your body is an important part of the process. For more personalized advice and support, contact Auria Pelvic Health today.


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Article Written By Dr. Sasha Speer, DPT


 
 
 

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