At 28 weeks' gestation, for constipation, what action is recommended?

• A. Enemas
• B. Laxatives
• C. Fiber rich foods
• D. Suppositories

Answer: (C)

Constipation in pregnancy is often best managed with nondrug, dietary approaches first. Increasing fiber intake helps by adding bulk to the stool and softening it, which makes it easier to pass and reduces the need for straining. At 28 weeks, hormonal changes and iron supplements commonly slow the gut, so filling the diet with fiber-rich foods is a safe, effective starting point. Aim for foods like fruits, vegetables, whole grains, beans, and seeds, and pair with plenty of fluids to prevent gas and discomfort. If fiber alone isn’t enough after a few days, a clinician may consider other options, but they’re not the initial step.