Haemorrhoids and anal fissures during pregnancy and after childbirth: a prospective cohort study.
BJOG
; 121(13): 1666-71, 2014 Dec.
Article
em En
| MEDLINE
| ID: mdl-24810254
ABSTRACT
OBJECTIVE:
To identify the incidence and risk factors of haemorrhoids and fissures during pregnancy and after childbirth.DESIGN:
Prospective observational cohort study.SETTING:
University hospital and outpatient clinics in Lithuania. POPULATION A total of 280 pregnant women followed up until 1 month after delivery.METHODS:
Women were examined four times through pregnancy and after delivery; those that developed peri-anal diseases were compared with those that did not. MAIN OUTCOMEMEASURES:
Incidence, time and risk factors of haemorrhoids and fissures.RESULTS:
In all, 123 (43.9%) women developed peri-anal disease 1.6% in the first trimester, 61% during the third trimester, 34.1% after delivery and 3.3% 1 month after delivery; 114 (40.7%) women were diagnosed with haemorrhoids, seven (2.5%) with haemorrhoids and anal fissure and two (0.71%) with anal fissure. Ninety-nine (80.5%) women had vaginal delivery and 24 (19.5%) women had undergone caesarean section. Multivariate analysis identified personal history of peri-anal diseases (odds ratio [OR] 11.93; 95% confidence interval [95% CI] 2.18-65.30), constipation (OR 18.98; 95% CI 7.13-50.54), straining during delivery for more than 20 minutes (OR 29.75; 95% CI 4.00-221.23) and birthweight of newborn>3800 g (OR 17.99; 95% CI 3.29-98.49) as significant predictors of haemorrhoids and anal fissures during pregnancy and perinatal period.CONCLUSIONS:
Haemorrhoids and fissures are common during the last trimester of pregnancy and 1 month after delivery, with constipation, personal history of haemorrhoids or fissures, birthweight of newborn>3800 g, straining during delivery for more than 20 minutes being independently associated risk factors.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
/
Transtornos Puerperais
/
Peso ao Nascer
/
Fissura Anal
/
Hemorroidas
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Middle aged
/
Newborn
/
Pregnancy
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article