Pregnancy And Herbal Laxative Tea: Safe?

Drinking herbal tea during pregnancy is a controversial topic. While herbal teas are often recommended as a natural way to support optimal pregnancy health, there is a lack of research on the safety of herbal teas for pregnant women.

Herbal teas are made from a variety of plants and can be used as medicinal remedies. They are naturally caffeine-free, but they may contain other compounds that could be harmful during pregnancy. It is recommended that pregnant women inform their healthcare providers about any herbal teas they are consuming or plan to consume.

Some herbal teas, such as those made with excessive amounts of herbs or known toxic herbs, are considered unsafe during pregnancy. However, there are a few herbal teas that are generally considered safe to consume during pregnancy, including raspberry leaf, peppermint, ginger, and lemon balm teas. These teas have potential health benefits, such as relieving nausea, reducing labour length, and promoting uterine health.

Overall, while some herbal teas may be beneficial during pregnancy, it is important to exercise caution and consult with a healthcare professional before consuming any herbal teas while pregnant.

Herbal laxatives and their side effects

Herbal laxatives are often used to treat constipation and to clean out the intestines before a bowel examination or surgery. They contain chemical compounds called anthranoids, which stimulate cells in the intestine. Anthranoids induce gut motility, reduce fluid absorption from the intestines into the body, and increase fluid secretion in the colon, resulting in softer stools. Senna is the herb most commonly used in commercial laxative preparations.

While herbal laxatives can be effective in the short term, they have been associated with a range of side effects, from mild to severe. Prolonged use of herbal laxatives has been linked to melanosis coli, a condition in which the pigmentation of the colon's lining changes to a dark-brown colour. This change typically disappears within six months to a year after discontinuing the use of herbal laxatives. There is also ongoing research into the potential link between regular use of anthranoid-containing herbal laxatives and an increased risk of colorectal cancer.

Herbal laxatives have been associated with several severe side effects, including electrolyte deficiency and even death, in cases where the individual consumed excessive amounts. It is important to carefully follow the dosage recommendations and not exceed the suggested duration of use (usually not more than 7 days unless directed by a doctor).

Some of the side effects to look out for include:

• Prolonged bouts of diarrhea
• Severe stomach cramping
• Dizziness, fainting, or excessive fatigue
• Bloody stools or rectal bleeding
• Numbness or tingling in limbs, fingers, and toes
• Irregular or fast heart rate

It is important to seek immediate medical attention if you experience any of these symptoms.

Pregnant or breastfeeding women should be especially cautious and consult their healthcare provider before taking any herbal laxatives, as there is limited research on their effects on fetal development.

Safe herbal teas during pregnancy

Herbal teas are not necessarily safe to drink during pregnancy, even though they are made from natural ingredients. The amount of natural ingredients they contain can vary, and they may also contain ingredients that aren't listed on the label. These ingredients may pass on to your baby or interfere with other medicines you are taking.

However, most commercial brands of herbal teas are thought to be safe for anyone to consume in reasonable amounts. The herbal teas that are considered unsafe are those that are:

• Not made commercially
• Made with excessive amounts of herbs (larger amounts than those found in common foods or drinks)
• Made with herbs that are known to be toxic

Ginger tea

Ginger tea can help ease nausea and should be safe to drink in moderation while pregnant or breastfeeding.

Lemon balm tea

Lemon balm tea is commonly used to ease anxiety, irritability, and insomnia. However, no study could be found to support its safety in pregnancy.

Peppermint tea

Peppermint tea is one of the most used herbal medicines in pregnancy. It can be helpful in easing nausea and flatulence. Studies have shown it doesn't harm you or your baby. However, you should avoid very large amounts of peppermint tea and not drink it in your first trimester because it can promote menstruation.

Red raspberry leaf tea

Some women drink raspberry leaf tea during their last trimester to help them prepare for labour and birth. However, this hasn't been shown to be effective in any studies. It's likely that this tea is safe in pregnancy and when breastfeeding.

Unsafe herbal teas during pregnancy

Pregnancy is a delicate period, and caution must be taken with herbal teas due to the lack of studies on most herbs and their effects on a developing foetus. While some herbal teas are considered safe, others are deemed unsafe and could lead to adverse effects on pregnancy outcomes. Here is a list of herbal teas that are considered unsafe or should be consumed with caution during pregnancy:

• Chamomile tea: While chamomile is known for its calming and sleep-inducing properties, studies indicate that regular consumption during pregnancy may increase the risk of miscarriage, preterm labour, or low birth weight.
• Nettle leaf tea (Stinging nettle leaf tea): Nettle leaf tea is considered likely unsafe during pregnancy. It stimulates the uterus and can potentially cause miscarriage.
• Ephedra (Ma Huang): This herb has been banned in the United States since 2004 and should be avoided during pregnancy.
• Fennel: Although fennel is used to treat various conditions and may have some benefits, there are concerns about its potential adverse effects. It has estrogenic effects and can increase menstruation and libido. It is recommended to consult with a healthcare provider before consuming fennel tea during pregnancy.
• Large amounts of frankincense tea: Frankincense tea, when consumed in large amounts, may increase the risk of miscarriage or preterm labour.
• Large amounts of chamomile tea: Excessive consumption of chamomile tea during pregnancy has been linked to an increased risk of miscarriage or preterm labour.
• Eucalyptus tea: Eucalyptus tea, in rare cases, may cause nausea, vomiting, or diarrhoea.
• Rhubarb: Animal studies suggest that the emodin content in rhubarb can induce fetal abnormalities.
• Fenugreek: Fenugreek has been associated with teratogenic malformations in both humans and animals.
• Cannabis: Cannabis consumption during pregnancy can induce fetal neurological disorders.
• Yellow dock: Yellow dock is considered possibly unsafe during pregnancy. It may be used as a laxative, but it is important to consult with a healthcare provider before using it during this delicate period.
• Alfalfa: Alfalfa is classified as possibly unsafe for pregnant women.
• Other non-commercial herbal teas: The FDA warns that herbal teas that are not made commercially or are made with excessive amounts of herbs may be unsafe. Additionally, teas made with herbs known to be toxic should be avoided.

It is always advisable to consult with a healthcare professional before consuming any herbal teas during pregnancy, as some teas may have unknown or unstudied effects on the developing foetus.

Recommended herbal tea intake during pregnancy

Pregnancy is a time when you need to be extra cautious about what you consume, and that includes herbal teas. While herbal teas are often promoted as a natural way to support optimal pregnancy health, it's important to remember that not all herbal teas are safe for pregnant women. Here are some recommendations and guidelines for herbal tea intake during pregnancy:

Consult with a Healthcare Professional:

Always speak to your doctor, midwife, or a qualified healthcare professional before consuming any herbal teas during pregnancy. They can provide personalised advice and help you make informed decisions about which teas are safe for you and your baby.

Understand the Types of Teas:

There are two main types of teas: non-herbal and herbal. Non-herbal teas include black tea, green tea, and oolong tea, which are made from the leaves of the Camellia sinensis plant and contain varying amounts of caffeine. Herbal teas, on the other hand, are made from roots, berries, flowers, or seeds of various plants and are typically caffeine-free.

Caffeine Considerations:

Caffeine easily crosses the placenta and can affect your developing baby. While moderate caffeine intake (up to 300 mg per day) is generally considered safe, it's still recommended to limit caffeine during pregnancy. This is because your baby's immature liver has difficulty breaking down caffeine, increasing the risk of side effects. If you choose to consume caffeinated teas, such as black tea, green tea, or oolong tea, do so in moderation and always stay within the recommended caffeine limits.

Safety of Herbal Teas:

The safety of herbal teas during pregnancy is a concern due to the lack of comprehensive studies on most herbs. The FDA encourages caution when ingesting herbal teas, especially those that are not commercially produced, contain excessive amounts of herbs, or are made with herbs known to be toxic. Most commercial brands of herbal teas are generally considered safe for consumption in reasonable amounts. However, it's important to purchase herbal teas from reputable brands to minimise the risk of contamination or unlisted ingredients.

Recommended Herbal Teas:

Some herbal teas that are commonly considered safe or likely safe during pregnancy include:

• Ginger tea: Helps relieve nausea, vomiting, and morning sickness. It may also have pain-relieving and anti-inflammatory properties.
• Lemon balm tea: Used to ease anxiety, irritability, and insomnia. However, there is limited scientific evidence to support its safety and effectiveness during pregnancy.
• Peppermint tea: Helps relieve gas, nausea, stomach pain, and heartburn. It is one of the most commonly used herbal medicines during pregnancy and is considered safe in moderate amounts. Avoid during the first trimester as it can promote menstruation.
• Red raspberry leaf tea: Rich in iron and traditionally used to tone the uterus, increase milk production, decrease nausea, and ease labour pains. It is often recommended after the first trimester.

Herbal Teas to Avoid:

There are certain herbal teas that should be avoided during pregnancy due to potential risks:

• Parsley tea: Large amounts may increase the risk of miscarriage and negatively affect fetal development.
• Sage tea: Concentrated forms of sage, such as teas, have been linked to miscarriage and high blood pressure. Small amounts of sage in cooking are generally considered safe.
• Chamomile tea: There are concerns that chamomile tea may stimulate the uterus or lead to circulation problems in the baby. It has been associated with higher rates of preterm labour and miscarriage. It is best to avoid consuming chamomile tea in large quantities.
• Dandelion tea and rose hip tea: There is insufficient information available to determine their safety during pregnancy.

Moderation and Variation:

When consuming herbal teas during pregnancy, it's important to practise moderation. Limit yourself to 1-2 cups of herbal tea per day and vary the types of herbal tea you drink. Avoid consuming the same herbal tea continuously throughout your pregnancy.

Natural remedies for constipation during pregnancy

Constipation is a common issue during pregnancy, with almost three out of four pregnant women experiencing it at some point. It is caused by hormonal changes, pressure on the uterus, and iron in prenatal vitamins. While it can be uncomfortable, there are several natural remedies that can help provide relief.

Dietary Changes

• Increase your fibre intake: Aim for 25 to 34 grams of dietary fibre each day. Include foods such as fresh fruits, vegetables, beans, peas, lentils, bran cereals, prunes, and whole-grain bread in your diet.
• Consume citrus fruits: Citrus fruits like oranges are high in fibre and vitamin C. Grapefruits are another good option.
• Drink prune juice: Prune juice can help ease constipation and soften stools. You can drink it up to five times a day, diluted with a bit of water and lemon if needed.
• Try Ispagula husks (Isabgol): This is a well-known Indian home remedy for constipation. Ispagula husks contain mucilage that absorbs fluids and adds bulk to the stool. However, make sure to drink at least ten glasses of water daily when using this remedy, and avoid it if you have heart problems or high blood pressure.
• Include flaxseed in your diet: Flaxseed is rich in dietary fibre and omega-3s. Make sure to drink plenty of water when consuming flaxseed. Flaxseed oil is another option.

Lifestyle Changes

• Stay hydrated: Drink at least eight 12-ounce glasses of water per day, or around ten glasses, to keep your bowels soft and promote smooth digestion.
• Eat smaller meals: Instead of eating large meals, break your daily food intake into five or six smaller meals. This will help your stomach digest food more efficiently and transfer it smoothly to the intestine and colon.
• Increase physical activity: Regular exercise stimulates your bowels. Aim for 20 to 30 minutes of exercise three times a week, with your doctor's approval. Walking, swimming, and prenatal yoga are good options.

Herbal Remedies

• Drink ginger tea: Ginger is considered a safe herbal remedy during pregnancy and can help relieve nausea and vomiting. However, when consumed dried, it should not exceed 1 gram per day.
• Try lemon balm tea: Lemon balm has a calming effect and can help relieve irritability, insomnia, and anxiety. However, there is limited research on its safety during pregnancy.
• Raspberry leaf tea: Raspberry leaf tea is believed to help tone the uterus, increase milk production, decrease nausea, and ease labour pains. However, there is some controversy about whether it should be used throughout pregnancy, so many healthcare providers recommend using it only after the first trimester.

It is important to note that while these natural remedies can provide relief, you should consult your doctor if your constipation persists or becomes severe. Additionally, always speak to your healthcare provider before consuming any herbal teas or supplements during pregnancy.

Frequently asked questions