Tummy troubles
Gastrointestinal troubles are less-known post-delivery issues. Experts demystify the uncomfortable, often embarrassing problem
Although it is wellknown that pregnant women often suffer from Gastrointestinal (GI) distress, including nausea and heartburn, it is less known that many women continue experiencing or develop these problems long after delivery.
“Post-partum problems range from constipation to painful defecation, from faecal or urine incontinence to flatulence. It is important to raise awareness about these long-term consequences of pregnancy so that mothers suffering from GI symptoms know they are not alone and can seek help,” says Dr Nabat Bandeali, MBBS DGO (MRCOG), Gynaecologist, Bloom Hospitals, Mother and Child Care.
During pregnancy, most of us spend a lot of time and energy on researching each phase and preparing for the new arrival. “What happens to a mom’s body after the baby is born is usually low on the list of things to think about,” says Dr Nabat.
The postpartum period is defined as the first six weeks after childbirth – a time of immense physical and emotional changes when the body, including the womb, is trying to get back to its non-pregnant state. “Many women will be surprised to find that their digestive systems are very fragile and this may be difficult to deal with alongside the incessant demands of the new-born,” says Dr Nabat.
Most women experience some constipation following birth. “This could be due to the slowing of the digestive system during labour or due to the use of iron and calcium supplements postpartum, or simply the fear of straining because of haemorrhoids or stitches or soreness post-delivery.
Faecal incontinence is one of the most troubling of the postpartum GI issues. The muscles and nerves that control bowel movements can be stretched during birth. The use of forceps or vacuum or a significant tear or episiotomy which may extend backwards can damage the muscles and nerves. This can affect bowel control. Some new mothers may even have a bowel movement without any sensation. If you experience such problems, it is important you talk to your doctor. Most times you will be reassured that things will soon return to normal.
Stress playing havoc with the digestive system is another challenge most new mothers face. It is exhausting when you have to manage on reduced sleep and cope with concerns whether you are doing the things right for your baby. Stress can activate the fight and flight hormone and thus the blood supply to the digestive system can be slowed, leading to indigestion and acid reflux. Erratic eating habits due to putting the baby first adds to the problem.
Identifying postpartum gastric problems early and addressing them can prevent difficulties in the future and allow you to enjoy your motherhood to the fullest. Kegels or pelvic floor exercises, hot fomentation and sitz baths will increase blood flow and assist healing,” says Dr Nabat.