The Risk of Haemorrhoids in Pregnant Women

By Medically reviewed by Panel Perubatan Hello Doktor

Pregnancy is considered one of the world’s most magical experiences. Some even say that women who have been through pregnancy and delivery are the toughest people out there! As magical as the experience may sound, it’s definitely no laughing matter when pregnant women are considered a high-risk group to develop haemorrhoids or piles. We’re spilling the beans on how it all goes down.

How it occurs?

A growing fetus in the uterus exerts substantial amounts of pressure on the pelvis. Due to the nature of pregnancy, the continuous growth of the fetus and its surrounding tissue results in exponential amounts of pressure over time. Therefore, most haemorrhoid cases typically develop in the third trimester. This pressure contributes to the congestion of the venous blood vessels in the anal cushion.

In addition, the hormones related to pregnancy also play a significant role. Elevated pregnancy hormones such as estrogen and progesterone slow down the transit of food in the intestines. This predisposes pregnant women to constipation and straining, which lead to the development of haemorrhoids. These hormones also affect the walls of the veins, rendering it prone to swelling. During pregnancy, pregnant women also experience an increase in blood volume, further increasing the congestion of blood vessels in the anal cushion. 

Preventing piles

There are a few ways to prevent the development of haemorrhoids in pregnant women. One of them is to increase the intake of dietary fibre and fluids. Fruits such as pears, berries, avocado, bananas and papayas are a great source of dietary fibre, while adequate fluid intake ensures good stool consistency which facilitates the defecation process. Be sure to not hold in your faeces when the urge is present. Pregnant women are also advised not to sit or stand for too long. It is recommended that you take a few paces from time-to-time to encourage blood circulation. 

The good news about pregnancy-induced haemorrhoids is that the problem is bound to go away after the course of pregnancy. The reduction in circulating blood volume, intra-abdominal pressure and pregnancy hormones following the delivery of the fetus will help alleviate the problem. This post-pregnancy state gradually lowers the initial risk to that of a regular person.

Other health risks of pregnancy

Aside from haemorrhoids, pregnant women are also at risk of chronic venous insufficiency (CVI). CVI occurs when there is an anomaly in the venous blood flow. This can occur either due to incompetent valves in the vein (leading to reflux of blood flow), obstruction of venous blood flow, or a combination of both. Insufficient blood flow in the veins causes a reduction of blood flow to the heart. Local symptoms include telangiectasias, oedema, active ulcers and changes to the skin. Just like haemorrhoids, CVI can worsen during pregnancy and will improve after delivery. 

In general, the treatment for both of these conditions can be divided into three categories – lifestyle interventions, medications (pharmacological treatment) and procedures (may or may not involve surgery). Treatment, for both haemorrhoids and CVI, involves the use of the medication Daflon 500mg, which provides quick absorption from the micronisation of its active particles. According to research carried out by the All India Institute of Medical Sciences’ Department of Obstetrics and Gynaecology, Daflon 500mg is in fact highly effective and safe for short-term treatment of haemorrhoids in pregnant women – restoring some of that magic in pregnancy once and for all.

Hello Health Group does not provide consultation or treatment.

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