The second reason: During pregnancy, you can not use laxatives and enemas. For future mothers who expect a child, only some drugs for preventing constipation that can be appointed by a doctor are allowed. Sometimes constipation during pregnancy is associated with the reception of the iron preparation (such an additive is used if the level of erythrocytes in the blood is below the norm). In this case, it will take the replacement of the drug on an analog that will not cause unpleasant side effects.
Iron additives in therapeutic doses can lead to the accumulation of this element in the intestinal mucosa, causing it dysfunction. Therefore, before taking any medicines, even the most common "vitamins for pregnant women", you need to consult with your doctor.
Motilin - a hormone of a small intestine that stimulates the spasms of the intestinal smooth muscles. Food passes through the digestive system longer, which allows you to maximize all the nutrients and transport them to the child. However, such a change has a side effect - the high risk of developing problems with defecation.
The second reason is a constantly growing uterus, which presses the neighboring organs, "takes place", allocated for the intestines, which does not contribute to normal digestion. As a result, constipation may develop.
Each obstetrician gynecologist is aware that women in principle allow for themselves the possibility of receiving several tablets at once under the condition: if the appointed funds do not violate their well-being. When it comes to the truly necessary drugs, such as iron preparations, from 40 to 80% of all pregnant women do not fulfill medical recommendations . The main obstacle is side effects that when taking iron preparations arise quite often. First of all, the gastrointestinal tract (gastrointestinal tract) suffers: women, as a rule, are concerned with nausea and other dyspeptic phenomena, as well as constipation. And this, by the way, is clearly reflected in the instructions, each of which always contains a rather impressive list of unwanted phenomena.
An obstetrician-gynecologist, of course, may well do without information, why various dyspeptic disorders and constipation are so frequent during pregnancy, and redirect the question (and a woman!) Gastroenterologist. However, a specialist prescribing iron preparations should well remember that if his ward against the background of drug correction anemia will have miscarriage or premature childbirth will occur, then this may also be a yathedral component .
Modern statistics says that in the world at least 40% of women in one or another moment of pregnancy suffer from constipation (conference) , and in the realities of Russia, the indicator can reach 50-93% .
So significant prevalence is due to physiological changes in the nervous and endocrine regulation of the gastrointestinal tract. Progesterone, preventing excessive cuts in the global relaxation of smooth muscles, at the same time reduces the intestinal motorcy, slows down the food passage, changes the tone of the gastrointestinal sphincters .
The reason is the generality of the innervation of the uterus and the colon. To provide a "contractile peace" of myometrium, on the same level of activity, the body has to translate and smooth myocytes of the intestinal wall. The humoral part of the regulation is also a little library: in case of difficulties of defecation, the folding cells of the colon throw away a large amount of serotonin, and the receptors to this mediator are located not only in the mucous membrane of the above intestinal department, but also in myiometry.
You need to choose laxatives in pregnancy with caution. Some funds can provoke a reduction in smooth muscles and cause premature childbirth or miscarriage. Especially one should not be takenlated by the infections of the herbs that contain the bark of the crash or senna. They activate the intestinal peristalsis and are able to bring the uterus to Hypertonus.
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