Most people are no stranger to hemorrhoids. Men have a very high incidence of hemorrhoids, and it is said that “nine out of ten men have hemorrhoids”. However, women who have had children know that hemorrhoids also occur in up to 80 percent of pregnant women. The physiological changes in women during pregnancy and breastfeeding are very significant, and many factors such as increased abdominal pressure and postpartum constipation can cause hemorrhoids, and to avoid affecting the fetus and nursing infant, hemorrhoids should be treated carefully once they occur. There is a saying among anorectal surgeons that “no cure for asymptomatic hemorrhoids”. This is because the pathogenesis of hemorrhoids is the popular theory of downward displacement of the anal cushion, which is the normal anatomical tissue of the human body, and becomes hemorrhoids when the anal cushion is enlarged and enlarged by factors such as downward displacement of the anal cushion. The only way to cure hemorrhoids is surgery, and there is no non-surgical treatment that can cure hemorrhoids. Early stage hemorrhoids are mostly treated conservatively. Causes of Hemorrhoids in Pregnant Women 1. Pregnant women are sedentary for long periods of time during pregnancy, thus affecting blood circulation, slowing blood flow in the pelvis and congestion of the abdominal organs, causing overfilling of the mole veins, varicose, bulging, and decreasing tension of the vein walls and causing hemorrhoids. 2, pregnant women do not exercise enough, intestinal peristalsis slows down, feces stays in the intestinal cavity for a long time, the water in the feces is excessively absorbed, causing dry stools, clumps of feces thus compressing the veins, making local congestion and blood return obstruction. Causes the hemorrhoid vein pressure to rise, the vein wall resistance is reduced, which can lead to an increase in the incidence of hemorrhoids. 3, a series of physiological changes occur in the body of women after pregnancy, with the growth of the fetus, the uterus is increasing, forming pressure on the inferior vena cava, so that the blood return in the pelvis is impeded, the perianal plexus blood stagnation, it is easy to form hemorrhoids. 4, during pregnancy by the influence of endocrine hormones, can make the pelvic blood vessels, rectal blood vessels dilation, these are the factors that produce hemorrhoids. 5.During childbirth can cause localized hemorrhoidal venous reflux obstruction in the anus, causing hemorrhoids, or even cause breakage of hemorrhoidal veins, leading to thrombotic external hemorrhoids as well as inflammatory external hemorrhoids. 6, after childbirth due to the abdominal cavity empty, so that the sense of stool becomes sluggish, often for several days without stool, coupled with a longer bed rest. The defecation is weak, so the feces stays in the intestine for too long and becomes highly hard, which can easily cause anal injury when defecating. 7, menstruation and leucorrhoea and other secretions often stimulate the skin of the anal region, can cause chronic inflammation, resulting in the proliferation of connective tissue, thus forming hemorrhoids. People who usually exercise a lot and have a thin body type have a lower incidence of hemorrhoids during pregnancy: vice versa. Less athletic, obese women its incidence is higher because of the difficulty of squatting, inconvenience of cleaning and poor hygiene. The effect of hemorrhoids on the fetus during pregnancy Hemorrhoids have no effect on the fetus, so don’t worry too much, but long-term bleeding from hemorrhoids can cause anemia, which causes malnutrition in the fetus, plus it can make hemorrhoids worse during pregnancy, which is often difficult for pregnant women to tolerate. Treating hemorrhoids during pregnancy may have an effect on the fetus. Because pregnancy medication can have an effect on the fetus, especially before the 3rd month and after the 6th month, great care needs to be taken. Hemorrhoids during pregnancy will not have an effect on the birth. Delivery can cause localized hemorrhoidal venous reflux obstruction in the anus, causing hemorrhoids, or even a break in the hemorrhoidal vein, leading to thrombosed external hemorrhoids as well as inflammatory external hemorrhoids, which in severe cases can form embedded hemorrhoids leading to necrosis. Preventing hemorrhoids from occurring during pregnancy A. Develop good eating habits 1. Pregnant women should eat more fresh vegetables and fruits in their daily diet, especially they should eat more food containing crude fiber, such as celery, leek, bitter gourd, radish, cabbage, etc. 2, eat more coarse grains, such as corn, groundnuts, millet, whole wheat flour, etc. These foods, in addition to being rich in nutrients, can also stimulate intestinal peristalsis and prevent the accumulation of feces in the intestinal tract. Food is too fine, no coarse fiber does not produce any stimulation of the intestinal wall, the intestinal wall peristalsis slow, slow discharge, water is absorbed by the intestine, less water, dry stool. The stool must contain a certain amount of coarse fiber, the stool can be loose and easy to discharge. Coarse fiber and water content and stool fluffiness related. 3, pregnant women should pay attention not to eat or eat less spicy and stimulating food and condiments. Spicy and irritating food will stimulate the intestinal wall to produce inflammation, inflammation will cause more water absorption, resulting in dry stools. 4, develop the habit of drinking more water, it is best to drink some light salt water or honey water, these are conducive to softening and lubricating stool, to prevent constipation from occurring. Second, to develop good bowel habits 1, pregnant women should pay particular attention to develop the habit of regular bowel movements. Stool time to be relatively fixed, generally can be set in a meal after a good. Just eat, intestinal peristalsis more active, conducive to promote the discharge of feces. It is best to get up in the morning to defecate. When people get up, the rise reflex can stimulate intestinal peristalsis, conducive to defecation. 2, once the stool habit is formed, do not easily change, to the time of the stool, even if there is no bowel movement also insist on the toilet, triggering the intestinal stool reflex. Adhere to a week to form a habit. 3, each squatting toilet time is not too long, generally do not exceed 10 minutes. If you can’t get out at once, you can get up and rest for a while and go again. 4, do not read in the toilet and read the newspaper, otherwise the stool reflex is difficult to establish soon, but increased abdominal pressure and perianal blood pressure, the formation or intensification of hemorrhoids. 5, if the stool is dry, when the stool is difficult can use some laxative drugs, such as marijuana intestinal pills, fruit guide tablets, etc., should not use laxatives, not to apply pressure enemas, etc. to laxative, so as not to cause abortion or premature birth. Third, reasonable physical activity and anal health care 1, pregnant women should prevent long periods of sedentary, and promote reasonable outdoor activities, such as walking quietly, doing exercises and playing Taijiquan. The right amount of physical activity can enhance physical fitness. Promote intestinal peristalsis and increase appetite, to prevent constipation. 2, every morning and evening can do two anal retraction exercise, each time 30 to 40 times, is conducive to enhancing the strength of the pelvic floor muscles and perianal blood circulation, conducive to stool and prevent the occurrence of hemorrhoids. 3, every night before going to bed after a bowel movement, clean the anus, press the anus with a hot towel, massage the anus 15 times each in a clockwise and counterclockwise direction, thus improving local blood circulation. In fact, it is difficult to do without hemorrhoids, and you can only try to make them less symptomatic. Treatment options Conservative treatment is generally preferable for hemorrhoids in pregnant women. Because anesthesia and surgical stimulation can affect both the pregnant woman and the fetus, you should generally wait until after delivery to have surgical treatment. And after delivery, as intra-abdominal pressure decreases and venous reflux obstruction is lifted, hemorrhoids will usually slowly become smaller or shrink. You should pay attention to eating more fruits and vegetables and eat less fried and stimulating food. Keep your bowels open and develop a good habit of having regular bowel movements every day. If you have constipation, you can eat honey, sesame, yogurt, etc. Avoid prolonged sitting and standing. You should still walk and lie down properly 1 month before delivery. If fetal position is found to be incorrect, it should be corrected in time. In addition, insist on washing the anus with warm water after the stool, so that the anal area is often kept dry and clean, which is good for reducing the symptoms of hemorrhoids and preventing the occurrence of hemorrhoids.