Which of the following best describes the recommended management for postpartum constipation?

• A. Increase fluids and fiber, mobilization, stool softeners (e.g., docusate) as needed; avoid straining.
• B. Rely on stimulant laxatives daily for two weeks
• C. Limit fluids to reduce bladder pressure
• D. Encourage straining to promote bowel movement

Answer: (A)

Postpartum constipation is best managed by promoting easy, regular bowel movements without straining to protect healing tissues. The approach emphasizes nonpharmacologic and gentle pharmacologic steps: increase fluids and dietary fiber to soften and bulk the stool, encourage daily movement or ambulation to stimulate bowel activity, and use a stool softener such as docusate as needed to prevent hard, difficult-to-pass stools. The aim is to avoid straining, which can harm perineal healing, worsen hemorrhoids, and increase pelvic floor strain after delivery. Relying on stimulant laxatives daily is not recommended because they can cause cramping, electrolyte imbalance, and dependence. Limiting fluids or encouraging straining would counteract healing and worsen constipation.