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Constipation in pregnancy

BACKGROUND: constipation is a common problem during pregnancy, but for a definitive diagnosis, symptoms such as low motility, defecation difficulties, hard feces and incompletet evacuation should be evaluated. There are a number of factors involved, including hormones, physical activity, water and fiber intake, medication, etc. OBJECTIVE: the objective of the present study was to analyse the occurence of constipation in 41 normal pregnant women from the Ambulatory of Obstetrics and Gynecology Department at Santa Casa Hospital in São Paulo. METHOD: the patients filled a questionnaire with questions related to the frequency of stools, personal habits, symptoms and any other related conditions, before and after pregnancy. RESULTS: the overall incidence of constipation was 27.6%, excluding the subjects with previous history. CONCLUSION: we concluded that the incidence of constipation is lower than expected and generally occurs since the beginning of pregnancy. There seems to be no reason for the prescription of laxatives in most cases in pregnancy.

Constipation; pregnancy; motility; motilin


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