Hemorrhoids are a common surgical condition in the population, divided into internal, external or mixed internal and external hemorrhoids, which normally do not attract attention, and only alert people to hospital visits once the external hemorrhoids are thrombosed, painful or bleeding from dry stools that cut through the varicose veins. There are two reasons for the formation of hemorrhoids: one is the increased pressure in the pelvic abdominal cavity, such as long-term constipation, chronic cough, so that the venous blood flow back to the rectum is blocked. The second is the patient’s own poor vascular elasticity, which cannot maintain the elasticity of the vessel wall. As the pregnancy progresses, the enlarged uterus increases the abdominal cavity pressure, which affects the rectal venous blood return, and if you eat too little fibrous food and slow down intestinal peristalsis causing constipation, it can cause rectal varicose veins to form hemorrhoids. If the vaginal delivery is fully opened in the second stage of labor, the use of abdominal pressure to help defecate the fetus, the existing hemorrhoids during pregnancy will aggravate or even form external hemorrhoid thrombosis, resulting in postpartum anal pain, swelling, afraid to defecate or defecation difficulties. However, this is only a temporary phenomenon, as the fetus is expelled, the abdominal pressure is reduced, the obstruction of rectal venous reflux will be relieved, and the hemorrhoid symptoms will be reduced or restored. Therefore, having hemorrhoids is not an indication for a cesarean delivery, but if the hemorrhoids are severe during pregnancy or if there is external hemorrhoid thrombosis, choosing a cesarean delivery can also reduce the further development of hemorrhoids.