Medical article
Hemorrhoids during pregnancy and after childbirth
Hemorrhoids are among the most common problems during pregnancy and after childbirth. Many women hide this problem because they are embarrassed, or wait because they think “it will go away after childbirth.” Yet safe treatment is possible during this period, too.
Why do they develop?
- The growing uterus puts pressure on the blood vessels of the pelvis.
- Hormones change the walls of the blood vessels and the movement of the intestines, and constipation increases.
- Iron supplements can make constipation worse.
- Hard straining during childbirth makes the hemorrhoids swell.
What can you do at home?
- Eating fiber-rich food and getting enough fluids
- Not straining and not sitting on the toilet for a long time
- Washing with lukewarm water after a bowel movement
- A lukewarm sitz bath
- Not standing or sitting for long periods
Medications
During pregnancy and breastfeeding, not every ointment and suppository is safe. The doctor chooses the medication. Do not use any medication on your own.
When should you see a doctor?
- Bleeding
- Severe pain and a hard, bluish lump (a sign of thrombosis)
- A lump that does not go back in
- Symptoms that continue for weeks after childbirth
In a thrombosed hemorrhoid, removing the clot with a minor surgical procedure to relieve severe pain is possible during pregnancy as well.
When is surgery done?
Planned hemorrhoid surgery is usually scheduled after childbirth and the recovery period. If another pregnancy is planned in the future, the timing of the surgery is chosen together with the doctor.