Constipation, a condition that presents with hard stools and infrequent defecation, commonly occurs during pregnancy due to the pregnancy hormone progesterone, which affects intestinal function, iron and calcium supplements that can cause constipation and the uterus pressing on the bowel as the uterus grows. Physicians often recommend dietary changes to increase fiber intake as a first step to relieve constipation, but most fiber supplements are safe for pregnant women, according to a study published in the October 2004 issue of Current Gastroenterology Reports.
Metamucil
Metamucil has a category B rating for pregnancy safety from the United States Food and Drug Administration, meaning enough studies have been done to indicate that pregnant women show no increased risk of fetal defects by taking the supplement. The Dr. Spock website recommends Metamucil as a fiber supplement for pregnant women, noting that powder forms work better than tablets for most women. This supplement, generically known as psyllium, offers effective relief from constipation for pregnant women by absorbing liquid in the intestines, according to Drugs.com. Psyllium swells, creating softer stools and making it easier to defecate. Psyllium should be mixed with at least 8 oz. of water or other liquid. The psyllium solution should be chewed before swallowed. Pregnant women should consult their physician before taking Metamucil for constipation relief.
Citrucel
The fiber supplement Citrucel comes recommended from the Dr. Spock website as a method of relieving constipation for pregnant women. Citrucel, sold generically as methylcellulose, absorbs liquid in the intestines to soften stool and make it bulkier, which results in stool that is easier to pass. The U.S. Food and Drug Administration has not issued a pregnancy category to Citrucel, according to Drugs.com. While the Drugs.com website indicates Citrucel should only be taken when the benefits of use outweigh the risk of taking a fiber supplement that has not undergone safety studies, Obfocus.com says that Citrucel is generally considered safe as a constipation reliever during pregnancy. Citrucel powder is mixed with at least 8 oz. of water or other liquid that is not carbonated. Drink promptly after the powder is mixed in. Women who are pregnant should speak to their physician before taking Citrucel.
Blond Psyllium
Blond psyllium, an herbal fiber supplement, has a Natural Medicines Comprehensive Database rating of effective for the purposes of relieving constipation and making stools softer, and both Medline Plus and the American Pregnancy Association indicate that it is likely safe for pregnant women to take. This fiber supplement is effective because the psyllium seed husks absorb water and form a mass, which stimulates bowel movements. Supplements of blond psyllium recommendations are 7 to 40g of blond psyllium seed every day divided into two to four doses. Consult a physician before taking blond psyllium fiber supplements.



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