That First Poo After Birth
Struggling to navigate that first post-birth poo? You’re not alone! Experiencing your first poo after birth can be a source of anxiety for many new mothers. So we asked our resident midwife Christie to share her expert tips for making this necessary post-birth moment as comfortable as possible.
When will I have my first poo after birth?
It’s normal for your first poo after birth to occur a few days after delivery. It’s worth taking into account what is normal for you and if you usually poo every day or every few days as this is likely to affect when you’ll first open your bowels postnatally.
Concerns about stitches and damage
A common fear about the first poo after birth is the risk of damaging perineal stitches. Fortunately, it is very unlikely that your stitches will tear during a bowel movement. These stitches are designed to be durable and withstand the pressures of postpartum recovery. It’s better not to strain if possible but if you do find yourself putting in a bit of extra effort, please don’t worry that your stitches will break, open or be damaged. The stitches are very strong and able to withstand bowel movements.
Managing haemorrhoids after birth
If you developed haemorrhoids during pregnancy or delivery, they might add discomfort during your first post-birth poo. Remember, many people face this issue, and there are effective ways to manage the discomfort:
Over-the-counter creams: These can alleviate pain and irritation. If discomfort persists, consult your GP.
Haemorrhoids generally resolve on their own during the postpartum period, but don’t hesitate to seek help if you’re concerned.
How to prepare for and ease your first poo after birth
1. Diet and hydration
This are always top of the list. Make sure you are drinking plenty of water, around 2 litres a day. If breastfeeding you are likely to need even more than this (3 litres a day). Ensuring good hydration will help keep those poos softer and easier to pass.
In terms of diet, as always, a well-balanced diet is essential to good postnatal health. To avoid constipation, make sure you are eating plenty of fruit, vegtables, salad and wholegrain cereals, breads and pulses. This should add fibre to your poo to ease its passage through the bowel.
2. Laxatives
If you’re someone that is prone to constipation, have struggled in your pregnancy or have reason to suspect you may be constipated postnatally it may be a good idea to plan ahead and have a gentle laxative available post-birth in case you do struggle. Gentle laxatives such as lactulose are effective and available over-the counter. Some laxatives are available off the shelf, but I’d recommend speaking to a pharmacist and explaining the situation, as different laxatives do different things and they’ll be able to point you in the right direction.
If you are needing to take iron supplements postnatally, I would ask to be discharged from the hospital with laxatives to take along-side the iron or contact your GP for a prescription.
3. Practical Help
Positioning: Elevating your feet using a small step can improve your position and make passing stools more comfortable.
Perineal Support: Apply a clean, cold, wet compress to the perineum during your first few bowel movements post-birth. This can soothe the area and provide additional support, making the process less daunting.
Your first poo after birth is a natural part of the recovery process, and while it may seem intimidating, it’s something every new mother experiences. With the right preparation and support, you can manage it smoothly and comfortably. Remember, at The Positive Birth Company, we’re here to support you every step of the way through your postpartum journey.
