Hemorrhoids during pregnancy are common and affect many pregnant women, especially at the end of the second trimester until the third trimester of pregnancy.
Hemorrhoids during pregnancy occur because your uterus is getting bigger with pregnancy. It compresses the pelvic and lower veins (inferior vena cava), large blood vessels on the right side of the body that receives blood from the lower leg.
This pressure can slow blood flow back from the lower part of the body to the heart, then it will increase the pressure on the uterine blood vessels. As a result the blood vessels are dilated and swollen. Even so, hemorrhoids during pregnancy are not a very worrying condition. It can be cured.
Did you need hemorrhoid surgery while pregnant?
Hemorrhoid surgery, also known as hemorrhoidectomy, is not the main choice of treatment for hemorrhoids during pregnancy. Even so, hemorrhoid surgery may and may not be too rare during pregnancy or immediately after giving birth.
Many women who have hemorrhoids during pregnancy or during childbirth. Some women may need more intensive care than others because of more severe conditions.
Actually, both women who are pregnant and not pregnant don’t need hemorrhoid surgery. Usually, the doctor will provide a method of treatment or other treatment first to prevent the symptoms from getting worse.
The doctor will prescribe stool softeners to prevent constipation and topical creams that can help relieve symptoms. The doctor will also recommend doing the treatment accompanied by changes in your diet and activities.
In addition, you can do simple ways to reduce pain and swelling of hemorrhoid.
- Soak the buttocks with warm water (sitz bath) for 10-15 minutes every day. Do not enter soap or foam in the water. Do it 2-3 times a day.
- Drink plenty of water and eat lots of fiber to avoid constipation.
- Do Kegel exercises.
- Use a pillow that has a hole in the middle as a cushion.
- Don’t sit too long. If you have to sit down, change positions every few minutes and move as often as possible.
- Compress your anus with ice.
If the home treatment mentioned above is not effective, the doctor will also provide noninvasive treatment, which is done depending on your symptoms and condition.
The doctor will try to avoid surgery by trying to shrink inflamed tissue with noninvasive treatment or managing symptoms until you can give birth.
Surgery Is The Last Treatment For Hemorrhoids During Pregnancy
Hemorrhoid surgery is sometimes needed in certain cases. Hemorrhoid surgery can be done during pregnancy or immediately after giving birth.
Pregnant women may need to do hemorrhoid surgery if other treatments are ineffective and very painful or the symptoms get worse. If hemorrhoids in a pregnant woman cause uncontrolled bleeding or deep hemorrhoid, hemorrhoid surgery needs to be done.
Generally, hemorrhoids during pregnancy often get worse during the third trimester. However, if the condition does not get worse or other problems do not appear until after the 27th or 28th week of pregnancy, the doctor will determine whether to need surgery immediately or have to wait after giving birth. This decision depends on your condition.
Choices of Hemorrhoid Surgery During Pregnancy
If a pregnant woman needs to have hemorrhoid surgery, local anesthesia will be given during surgery. There are 3 options for hemorrhoid surgery during pregnancy.
1 Procedure for prolapse and hemorrhoid (PPH)
This procedure provides an effective alternative to hemorrhoid surgery during pregnancy. This procedure is effective for dealing with internal hemorrhoids and only gives a little pain after surgery.
2 Transanal hemorrhoidal dearterialization (THD)
This procedure is done by identifying blood vessels through the doppler system and does not require removal of the hemorrhoid tissue. After being identified, ligation of the hemorrhoidal bundle is carried out. Because no tissue is removed, recovery time can be faster than traditional hemorrhoidectomy.
3 Traditional hemorrhoidectomy
In some cases, traditional hemorrhoidectomy is the best choice for removing internal hemorrhoids and stopping symptoms. This procedure is done by stopping blood flow to the tissue, then cutting it with a scalpel. This procedure may require sutures, and may experience bleeding procedures.
You may need to stay one or two nights in the hospital after this procedure. The pain after this surgical procedure will usually occur for several weeks and may take 6 weeks or more to completely recover.