Let’s talk about something many new mums think about but rarely discuss openly: pooping after birth. It may not be glamorous, but your bowel habits are a key indicator of gut health. During pregnancy, around 40% of women experience constipation due to hormonal changes, reduced mobility, dietary shifts and the growing uterus placing pressure on digestive organs.
It’s no surprise then that the first poop after giving birth can feel like a big milestone—and sometimes a daunting one. Whether you’re worried about pooping after birth with stitches or concerned about straining after a caesarean, you’re not alone.
As a midwife, I believe honest conversations help women feel more prepared. Here’s what you need to know, along with five practical tips to make your first postpartum poo more comfortable.
Why postpartum bowel movements can be difficult
After birth, your body is recovering, and your digestive system may still be sluggish. Dehydration during labour, reduced movement and pain relief medication can all contribute to constipation. Fear of pain or damaging stitches can also make women hesitant to go, which can worsen the problem.
1. Treat constipation early
If you’re experiencing constipation during pregnancy, it’s worth addressing it before your baby arrives. Speak to your midwife or GP about safe treatment options. A well-functioning bowel going into labour can make pooping after birth much easier.
2. Don’t delay the urge
When your body signals it’s time, try not to hold off. Waiting for the “perfect moment” or until you’re home can make stools harder and more difficult to pass. Responding to natural urges helps your body work as it should.
3. Hydration, fibre and gentle movement
Rehydrating after labour is essential. Drinking plenty of fluids, eating fibre-rich foods like fruits and vegetables, and incorporating gentle movement (such as short walks) can all support healthy bowel function and ease your first poop after giving birth.
4. Adjust your position
Your posture matters more than you might think. Raising your knees above your hips using a small stool can mimic a squatting position. This helps straighten the rectum, relax the relevant muscles and use gravity to make passing stool easier—especially helpful when pooping after birth with stitches.
5. Try the ‘big belly, hard belly’ technique
This breathing technique can reduce straining:
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Sit comfortably with your feet elevated and lean slightly forward.
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Take a slow breath in through your nose, expanding your belly.
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Breathe out gently through your mouth, drawing your belly button inward.
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Repeat slowly, keeping your body relaxed.
Take your time—this process shouldn’t be rushed.
When to seek extra support
In some cases, additional help may be needed. If you’ve had a third- or fourth-degree tear, or if you’re taking opioid pain relief after a caesarean, a stool softener may be recommended. If you haven’t had a bowel movement within 48 hours of giving birth, speak to your midwife or doctor.
Remember, there’s nothing embarrassing about discussing your bowel health. Your healthcare team is there to support you every step of the way.
About Clare
Clare O’Brien
Midwife, Research Lead & BioGaia Ambassador
With over 12 years of experience as a registered midwife, including senior roles in clinical practice and reproductive health research, Clare O’Brien is a trusted UK voice in maternity care. A former lead in childbirth and maternal health research, she brings a strong evidence-based approach to supporting families through pregnancy, birth and beyond.
This content is for educational and informational purposes only. It is not intended to replace professional healthcare advice. Always seek the guidance of a qualified healthcare professional regarding any medical concerns.
