Pregnancy and postpartum bowel changes: constipation and fecal incontinence

Am J Gastroenterol. 2015 Apr;110(4):521-9; quiz 530. doi: 10.1038/ajg.2015.76. Epub 2015 Mar 24.

Abstract

Pregnancy and the postpartum period are often associated with many gastrointestinal complaints, including nausea, vomiting, and heartburn; however, the most troublesome complaints in some women are defecatory disorders such as constipation and fecal incontinence, especially postpartum. These disorders are often multifactorial in etiology, and many studies have looked to see what risk factors lead to these complications. This review discusses the current knowledge of pelvic floor and anorectal physiology, especially during pregnancy, and reviews the current literature on causes and treatments of postpartum bowel symptoms of constipation and fecal incontinence.

Publication types

  • Review

MeSH terms

  • Anal Canal / injuries
  • Anal Canal / physiopathology
  • Constipation / epidemiology
  • Constipation / etiology
  • Constipation / physiopathology*
  • Constipation / therapy*
  • Electromyography
  • Fecal Incontinence / epidemiology
  • Fecal Incontinence / etiology
  • Fecal Incontinence / physiopathology*
  • Fecal Incontinence / therapy*
  • Female
  • Hemorrhoids / epidemiology
  • Hemorrhoids / etiology
  • Hemorrhoids / physiopathology
  • Hemorrhoids / therapy
  • Humans
  • Manometry
  • Pelvic Floor / injuries*
  • Pelvic Floor / physiopathology*
  • Postpartum Period*
  • Pregnancy / physiology*
  • Pregnancy Complications / physiopathology*
  • Pregnancy Complications / therapy*
  • Rectum / physiopathology
  • Risk Factors
  • Severity of Illness Index