Hemorrhoids

Hemorrhoids are an unfortunate common occurrence in pregnancy. It is usually a result of the relaxation of the smooth muscles in the rectum and the increased pressure of the size and weight of the uterus that causes swollen tissue in and around the anus. They can also occur during labor and deliver as well as in the postpartum time. Bearing down when constipated can contribute to the development and worsening of hemorrhoids.

 

Hemorrhoids can be of varying sizes and can cause great pain, itching and discomfort.  Bleeding can also occur with bowel movements which are noticed on the tissue after wiping or in the toilet. Often bleeding from hemorrhoids is light and painless. However if bowel movements are painful or large amounts of bleeding occur you should seek the advice from you healthcare provider promptly.

 

Comfort measures for Hemorrhoids

  • Avoid constipation, eat lots of fruits and vegetables, drink 6-8 glasses of water
  • Use a fiber supplement
  • Using a cool or cold sitz bath (warm soak should be avoided in the case of swollen hemorrhoids)
  • Elevate legs or use a side position
  • Avoid constipation
  • Perineal tightening exercises
  • Over the counter medications and creams can help with discomfort, speak to your healthcare provider about the best type and for how long to use them.

For more information you can go to:

RESOLVE The National Infertility Association
1760 Old Meadow Rd, Ste 500
McLean, VA 22102
Phone: 1- 703 – 556-7172
Web Address: http://resolve.org/

 

References:

  1. Practice Committee of the American Society for Reproductive Medicine. (2013). Definitions of infertility and recurrent pregnancy loss: a committee opinion. Fertility and Sterility, 99(1), 63-63.
  2. Chandra, Anjani, Casey E. Copen, and Elizabeth Hervey Stephen. “Infertility and Impaired Fecundity in the United States, 1982–2010: Data from the National Survey of Family Growth.”
  3. Nisar, P. J., & Scholefield, J. H. (2003). Managing haemorrhoids. BMJ: British Medical Journal, 327(7419), 847.