Is Diarrhea Common in the Third Trimester?

Diarrhea in the third trimester of pregnancy is a common experience. While often a source of concern, it is frequently not indicative of a serious problem. Understanding the various reasons behind it can help alleviate anxiety during this stage.

Diarrhea as a Third Trimester Occurrence

Diarrhea often becomes more frequent as an individual nears their due date. While some view it as an early sign of labor, it is not a definitive indicator. Diarrhea can occur weeks before labor begins and is not a reliable predictor of labor’s exact onset.

Common Reasons for Third Trimester Diarrhea

Several factors contribute to third trimester diarrhea. Hormonal fluctuations are a common cause, as increased prostaglandins, which help soften the cervix for delivery, can also stimulate bowel movements. This hormonal influence can affect the digestive system, sometimes accelerating its function. The expanding uterus can also exert pressure on the digestive tract, leading to altered bowel habits.

Dietary changes commonly adopted during pregnancy may also play a role. Introducing new foods, increasing fiber intake, or taking prenatal vitamins can result in digestive upset. Pregnancy can also heighten sensitivities to certain foods that were previously well-tolerated.

Mild infections, such as viral gastroenteritis or food poisoning, can also cause diarrhea, as pregnant individuals may have a somewhat suppressed immune system. Stress and anxiety, which can be heightened in late pregnancy, are also recognized contributors to changes in bowel function.

When to Consult a Healthcare Provider

While often not serious, certain situations warrant medical attention. Contact your doctor or midwife if diarrhea persists for more than 24 to 48 hours. Signs of dehydration, such as dry mouth, dark urine, reduced urination, dizziness, or extreme thirst, require prompt evaluation. Other red flags include fever, severe abdominal pain, or blood or mucus in the stool. Any notable changes in fetal movement, or suspected food poisoning, also necessitate immediate medical consultation.

Managing Symptoms and Staying Hydrated

Managing mild third-trimester diarrhea focuses on preventing dehydration and easing discomfort. Staying hydrated is paramount, with ample intake of water, clear broths, and electrolyte solutions. Avoid beverages with high sugar content, soda, and coffee.

Dietary adjustments can help. Consume bland, easy-to-digest foods like bananas, rice, applesauce, and toast. Avoid greasy, fried, spicy foods, and dairy products. Eating small, frequent meals and getting rest are also beneficial. Over-the-counter anti-diarrheal medications should only be considered after consulting with a healthcare provider.