“Baby’s out, the hardest part is over.” Most of us mums know that’s not true. Aside from stepping into your new role as a parent, you also have to think about postpartum recovery – such as the first poop after giving birth.
In the nine months leading up to birth, mums-to-be steel themselves, knowing that, at the end of their pregnancy journey, they have to endure all the pain and discomfort that comes with bringing a baby out into the world.
Once they get through labour and delivery, they feel a sense of relief, but wait…there’s more. They have to overcome another unexpected hurdle: their first bowel movement. Many mums would agree that the first poop after giving birth can extremely hurt, even more than labour and delivery.
First Poop After Giving Birth
Don’t worry, it’s completely normal to have concerns about this. Many women feel a little anxious about what to expect in that department. Well, here’s the scoop.
After giving birth, your body goes through some incredible changes, both internally and externally. Your muscles, including those in your pelvic area, have been working hard during labour and delivery. It’s common for these muscles to feel a bit weak and strained, making the thought of pooping a bit daunting.
How painful is the first poop after birth?
The first poop after giving birth can be uncomfortable or even painful for some women. This discomfort is often due to a combination of factors, including postpartum soreness, stitches from an episiotomy or tearing, and changes in bowel habits. It’s essential to be gentle and patient during this time to minimise discomfort.
Why is the first poop after giving birth so hard?
Here are six reasons why some women have a hard time pooping after giving birth, and also tips on how to overcome these issues.
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They have likely been constipated for days
After birth, it will take a while for your body to heal and resume its normal processes, including metabolism and digestion. Medication intake and dehydration also play a role in postpartum constipation.
In mums who delivered via Caesarean section, constipation can be a common problem, especially as the anaesthesia wears off. This is why it may take a while before your first poop after giving birth.
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They most likely neglected stool softeners
The importance of stool softeners after birth is often overlooked, but they can greatly help ease bowel movements. Stool softeners are one of the answers to how to poop after giving birth with stitches. This is the case whether you have perineum stitches or stitches from your C-section.
Ask your doctor for a prescription for stool softeners. Do not worry, this is safe even if you are breastfeeding.
Note that there is a difference between stool softeners and stimulant laxatives. The former adds moisture to the stool so it becomes softer and easier to pass. The latter makes your intestines contract, giving you the urge to pass stool.
Another thing to note is you only need stool softeners for a short time. This is to help you poop after giving birth.
Image Source: iStock
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They may have experienced vaginal tearing
Many women who deliver through normal vaginal delivery have to undergo an episiotomy, or the surgical cutting of the area between the vagina and anus to widen the birth canal. Tearing of the vulva and perineum can also happen spontaneously during labour.
When you have a severe perineal tear, the poop after giving birth can be more complicated. When your perineal tear degree is third or fourth, you may experience poop leakage.
When you’re at six weeks postpartum and you experience poop leakage with your third or fourth perineal tear degree, talk to your doctor. She may recommend pelvic floor physical therapy or refer you to a sub-specialist.
Even if a new mum did not experience vaginal or perineal tearing, she might still have some rawness and swelling down there. Remember, she just pushed out a baby from your body. So it may take a while before her body goes back to normal. This is why the first poop after giving birth may be scary.
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Their stitches are still raw
After tearing or episiotomy, doctors stitch up the cut to allow healing. The healing of perineum stitches can last for days or weeks. Even in mums who delivered via Cesarean section, the stitches can still feel tender. But fear not, mama, your body is designed to recover and heal.
So when they’ve finally done the first poop after birth, how to wipe? Gently, and avoid it if you can. Mums may use a peri bottle or a squeeze bottle and fill it with warm water. Then you can let it air dry so you don’t have to wipe once you’re done with poop after giving birth.
Another way to help in terms of how to poop after giving birth with stitches is to stay hydrated. Drinking lots of water will help your large intestine and aid in forming stools that are easier for you to pass.
Common Postpartum Poop Concerns: Causes and Relief
It’s no secret that things can get a little tricky in the bathroom after giving birth. Don’t worry; you’re not alone! Here’s a quick list to help you understand what causes these common postpartum poop concerns and how to find relief.
Cause: Hormonal changes, pain medications, and the fear of hurting stitches can slow down your digestive system.
Relief: Stay hydrated, eat fibre-rich foods, and consider stool softeners (under your healthcare provider’s guidance).
Cause: Straining during bowel movements and increased pressure on the rectal area.
Relief: Use haemorrhoid creams, take sitz baths, and consult with your doctor if needed.
Cause: Hormonal changes, anxiety, and medications used during labour can lead to postpartum diarrhea. Your body is adjusting after childbirth, and this can affect your digestive system.
Relief: Stay hydrated, eat a bland diet, and avoid trigger foods. Over-the-counter anti-diarrheal medications may help, but check with your healthcare provider first.
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Postpartum Fecal Incontinence
Cause: Weak pelvic floor muscles, which can result from pregnancy and childbirth, may cause involuntary bowel movements. This condition is common but can be embarrassing.
Relief: Kegel exercises can strengthen your pelvic floor muscles over time. You can also try dietary changes like increasing fibre intake to regulate bowel movements. Don’t hesitate to seek help from a pelvic health specialist for personalized guidance
Remember, every postpartum journey is unique, and these concerns will typically be resolved with time and self-care. If you’re experiencing severe or persistent issues, consult your healthcare provider for personalised advice.
Image Source: Stock
7 Tips to Ease the Pain of Poop After Giving Birth
What should I do for my first postpartum poop? Do you wipe your first poop after giving birth?
We know that the thought of your first postpartum poop can be a bit nerve-wracking. But fear not! We’ve got your back with these helpful tips to make the experience a little easier. Remember, you’re not alone, and many new mums have been through the same thing. So let’s dive into these practical and encouraging suggestions!
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Consult your doctor for medication options.
Reach out to your healthcare provider for advice on managing postpartum discomfort. They may recommend medications like ibuprofen, cooling creams, or stool softeners to help alleviate pain during bowel movements. Applying gentle counterpressure can also provide relief.
Avoid foods that can make your stools harder, such as cheese, white bread, white rice, pasta, and eggs. Opt for fresh fruits and vegetables instead of canned varieties. Stay away from fatty and processed foods. Including prunes, cranberry juice, and fibre-rich foods in your diet can promote regularity.
Consider adding a fibre supplement to aid in smoother bowel movements.
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Try padsicles for soothing relief.
Before delivery, prepare your own “padsicles” by applying alcohol-free witch hazel, pure lavender oil, and unscented aloe vera gel to sanitary pads. Freeze them and use them postpartum for a cooling and soothing sensation. You can also use a frozen diaper or maternity pad, lightly pressing it against your vagina for relief.
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Optimise your toilet position.
When nature calls, try resting your feet on a step stool while sitting on the toilet. This helps achieve a more natural squatting position. Leaning forward with your elbows on your knees can also assist in relieving any strain and making the process easier.
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Mindful breathing and gentle pushing
Practice deep breathing exercises while gently pushing during bowel movements. Be cautious and mindful of any stitches you may have from delivery. This technique can help your body naturally expel waste without unnecessary strain.
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Seek medical advice if needed.
If the pain persists or becomes unbearable during each bowel movement, don’t hesitate to consult your doctor. They can determine any underlying causes and provide further guidance to aid in your recovery. Remember, your well-being is essential for enjoying those precious early months of motherhood.
Image Source: iStock
Caring for Your Perineum Stitches
If you’ve had a first-degree vaginal tear, you may not need stitches. If it’s a second, third, or fourth, you will receive stitches. With these types, the stitches will heal and dissolve on their own within six weeks.
But if you have a severe case of tearing and have an injury to the anal sphincter, it needs to be repaired. While this heals, you may do the same tips mentioned above in terms of easing the pain of pooping after birth.
If you experience your perineum stitches itching, you may ask your doctor if it’s safe to take an antihistamine. You can also apply a cool compress to the area. You may also use a barrier cream like zinc oxide to protect from irritation. Another way to address perineum stitches and itching is to wear breathable underwear.
Perineal Wound Breakdown
An infection, or pressure on the stitches from bleeding underneath, may cause the perineum stitches to break down.
How do you know if your stitches ripped after birth?
If you have a pus-like or yellow discharge from stitches after birth, this may be a sign that you have a perineal wound breakdown.
You may notice that some of the stitches have come undone after delivery, or see that your wound has opened up. Perineal tear reopened symptoms also include pain and bleeding.
Poop After Giving Birth: When to Seek Help
After giving birth, it’s important to be aware of any potential issues related to perineal wounds and bowel movements. While discomfort is common, certain situations may require medical attention. Here’s a brief list of when to consult your doctor for guidance and support.
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Persistent or Increasing Pain: If the pain in your perineal area or while pooping persists or becomes more intense over time, it’s advisable to reach out to your healthcare provider.
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Excessive Bleeding: If you notice heavy or prolonged bleeding from your perineal wound or rectal area, consult your doctor immediately.
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Foul Odour or Discharge: If you experience a strong, unpleasant odour or unusual discharge from the perineal area or during bowel movements, it may indicate an infection and should be evaluated by a healthcare professional.
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Difficulty Passing Stools: If you’re unable to have a bowel movement despite following recommended strategies, such as a fibre-rich diet and staying hydrated, it’s important to seek medical advice.
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Presence of Pus or Abscess: If you notice the formation of pus or suspect an abscess around the perineal wound, contact your doctor promptly.
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Worsening Swelling or Redness: If the swelling or redness around the perineal area worsens or doesn’t improve with time, it’s best to consult your healthcare provider.
Remember, your doctor is there to address any concerns and provide appropriate care during your postpartum recovery.
Updates from Romy Pena-Cruz
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