Occurrence of Hemorrhoids and Anal Fissures through Pregnancy and Postpartum

Esmatullah, Baseera
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Abstract

Objective: To recognize occurrence also danger issues of hemorrhoids and fissures throughout pregnancy and afterwards childbirth. Population: The overall 180 pregnant females trailed up till 1 month after delivery. Methods: Females remained inspected 4 times via pregnancy and after delivery; those that developed perianal diseases were compared with those that did not. Main outcome measures Incidence, time and risk factors of hemorrhoids and fissures. Our current research was done in Nangarhar Reginal Hospital Gyn/ Obs ward from June -2020 to June -2021.  Results: In total 90 (50%) female patients have developed perineal diseases (Hemorrhoid, Anal Fissure. The most vulnerable times were 3rd trimester about 60 (66.6%), Second trimester 20(22.2%) and in the first month after deliver 10(11.11%). From these Patients Investigation shows that 65(72.2%) only suffering from hemorrhoid and 15(13.5%) has both hemorrhoid and anal fissure. 80 female undergone Vaginal delivery and 10 remind has undergone of caesarean section. Risk Factors for Perineal illness during pregnancy was Constipation, Straining throughout delivery for more than 20 mins and baby weight >3900gr. Conclusions: Hemorrhoids and fissures remain mutual throughout last trimester of pregnancy and one month afterwards delivery, through constipation, individual past of hemorrhoids or fissures, birth weight of new >3900 g, straining throughout delivery for extra than 20 mins being self-sufficiently related risk factors.
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妊娠和产后痔疮和肛裂的发生
目的:了解痔疮和裂在整个妊娠期和产后的发生和危险问题。人口:总共180名孕妇一直待到产后1个月。方法:雌性在妊娠期和产后进行4次检查;将那些发生肛周疾病的人与那些没有发生的人进行比较。主要观察指标痔疮和裂的发生率、时间和危险因素。我们目前的研究于2020年6月至2021年6月在楠格哈尔地区医院Gyn/Obs病房进行。结果:总共有90名(50%)女性患者出现了会阴疾病(痔疮、肛裂。最脆弱的时期是孕晚期,约60名(66.6%),妊娠中期20例(22.2%),产后第一个月10例(11.11%)。调查显示,65例(72.2%)仅患有痔疮,15例(13.5%)同时患有痔疮和肛裂。其中80例为阴道分娩,10例为剖宫产。妊娠期患会阴疾病的风险因素是便秘、分娩过程中压力超过20分钟以及婴儿体重>3900克。结论:痔疮和裂隙在整个妊娠晚期和分娩后一个月内一直相互存在,主要是由于便秘、个人痔疮或裂隙病史、新生儿体重>3900克、分娩过程中超过20分钟的紧张是自我充分相关的危险因素。
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