Essay

The Unspoken Reality: Pooping During Childbirth

by Cassandra Delage, Founder and CEO

Reviewed by Valerie Pelletier, Birthworker, Doula

Published June 10, 2024 — Last Reviewed March 22, 2024

  • Full Article

  • Contributors

  • References

Excerpt

Childbirth, hailed as one of life's most transformative experiences, often conceals a lesser-known aspect: the possibility of passing stool during labor. Amidst the anticipation and exhilaration of bringing new life into the world, this natural bodily function remains veiled in silence. Yet, shedding light on this phenomenon is imperative for expectant mothers and healthcare providers alike. Just as the intricacies of pregnancy nutrition merit scrutiny, understanding the dynamics of bowel movements during childbirth unveils another layer of the birthing process.

Introduction

In the multifaceted journey of childbirth, discussions surrounding bodily functions often take a back seat to more conventional topics. However, confronting the possibility of passing stool during labor is essential for holistic childbirth education and preparation.

The Physiology of Labor

As the body prepares for childbirth, the pelvic floor muscles undergo significant changes to accommodate the birthing process. The pressure exerted by the baby's descent through the birth canal, combined with uterine contractions, can inadvertently stimulate the rectum, leading to the expulsion of fecal matter [1]. While this occurrence may seem daunting, it is a natural and common aspect of childbirth, occurring in approximately 25-60% of vaginal deliveries [2].

Addressing Stigma and Misconceptions

Despite its prevalence, the fear of pooping during childbirth often stems from societal taboos and misconceptions surrounding bodily functions. However, research indicates that the presence of stool during labour does not pose any significant health risks to the mother or baby [3]. In fact, healthcare providers view it as an indicator of effective pushing and progress in labour [4].

"Most of the time, if this unscripted moment happens, the star of the show (that's you, by the way) is blissfully unaware. That's right. While you're performing the Herculean task of bringing a new soul into the world, the professionals around you - the midwives, nurses, doulas and doctors - handle such occurrences with the finesse of a magician's sleight of hand. To them, it's just part of the beautiful, messy reality of birth, as noteworthy as the colour of socks you wore that day. Ask any of us if you pooped while pushing, and we will most probably tell you that we didn’t notice if you had.”

— Valerie Pelletier, Birthworker, Doula

Promoting Open Dialogue and Education

To foster a supportive and informed birthing environment, it is crucial to destigmatize discussions around pooping during childbirth. Expectant mothers should be reassured that passing stool is a normal and natural part of the birthing process, devoid of judgment or embarrassment. Healthcare providers play a pivotal role in facilitating these conversations, offering reassurance, education, and compassionate care.

Conclusion

In conclusion, acknowledging the possibility of passing stool during childbirth is essential for comprehensive childbirth education and preparation. By dispelling myths, addressing stigma, and promoting open dialogue, we empower expectant mothers to approach labor with confidence and resilience. Just as navigating pregnancy nutrition guidelines requires a nuanced understanding, embracing the reality of pooping during childbirth enriches the birthing experience with authenticity and empowerment.

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References to the research cited in this article can be found in the "References" tab at the top of this page.

Contributors

Author(s)

Cassandra Delage

Founder and CEO of Bia

Reviewer(s)

Valerie Pelletier

Birth worker, Doula

References

Bia follows strict article guidelines and only uses credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. In addition, when necessary, each article is reviewed by a member of our healthcare community to further ensure up-to-date information.

[1] Sultan, A. H., Kamm, M. A., & Hudson, C. N. (1993). Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair. BMJ, 307(6897), 493-496.

[2] Soe, L. T., Aye, S. S., & Swe, K. K. (2016). Fecal incontinence after childbirth at Yankin teaching hospital. Myanmar Medical Journal, 18(3), 185-189.

[3] Deitrick, L. M., & Paxton, B. E. (1999). Normal labor and delivery. Primary Care, 26(1), 53-69.

[4] Higgins, M. F. (1993). Childbirth Education: Practice, Research and Theory. Vol. 2. Books for Midwives Press.

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