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Constipation in pregnancy — GPhC CRA MCQ

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EasyGastrointestinal TherapeuticsConstipation in pregnancyGPhC CRA

A woman at 18 weeks' pregnancy has constipation despite fibre and fluids with no bleeding or abdominal pain. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — A bulk-forming laxative or lactulose, depending on symptoms and preference

Pregnancy constipation is first managed with lifestyle measures and selected laxatives when needed. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF; NICE CKS