Is it safe to take stool softeners to treat pregnancy constipation?

Is it safe to take stool softeners to treat pregnancy constipation?
Answer
from Roger W. Harms, M.D.

Stool softeners are generally considered safe during pregnancy.

Stool softeners, such as Colace, moisten the stool and make it easier to pass. The active ingredients in these products aren't absorbed by the body, so they're unlikely to have an adverse effect on a developing baby. Check with your health care provider, however, before taking any medication — including stool softeners and other types of laxatives — to treat pregnancy constipation.

Often, pregnancy constipation can be managed with lifestyle changes. Consider these steps:
Drink plenty of fluids. Aim for eight 8-ounce (237-milliliter) glasses of water a day. Fruit juice — especially prune juice — also can help.
Include physical activity in your daily routine. Daily walks and other aerobic activities can help prevent and treat pregnancy constipation.
Include more fiber in your diet. Choose high-fiber foods, such as fruits, vegetables, beans and whole grains. With your health care provider's OK, try fiber supplements, such as Metamucil.

If you take iron supplements, mention the constipation to your health care provider. Although iron is an important nutrient during pregnancy, too much iron can contribute to pregnancy constipation.

If your health care provider approves stool softeners or other types of laxatives, be careful to use them as directed.