A 29yo female at 28wks GA presents to you with complains of hard stools and constipation for last 2wks

A 29yo female at 28wks GA presents to you with complains of hard stools and constipation for last 2wks. CTG shows fetal tachycardia. What is the single most appropriate tx?

a. Oral laxatives
b. Fiber diet
c. Phosphate enema
d. Lactulose
e. Reassure

Ans. The key is B. Fiber diet. [Changes to diet and lifestyle are often recommended as the first treatment for constipation. It includes high fiber diet and plenty of fluid, regular exercise etc.].