PRİMİGRAVİD GEBELERDE HEMOROİDAL HASTALIKLARIN SIKLIK VE SONUÇLARI
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Objective: To show the impact of pregnancy on hemorrhoids. Materials and methods: This study consists of 61 consecutive primigravid patients without any personal history of perianal diseases and systemic disorders predisposing to hemorrhoids or perianal complications. Each patient was examined and asked to complete a questionnaire including demographics, social and medical history and perianal disease related questions inbetween 11th to14th gestational weeks prior to prenatal screening tests. Patients were questioned and re-examined two more times at 24th and 37th gestational weeks regarding perianal symptoms and hemorrhoidal findings. Results: Five (8.2 %), 8 (13.1 %) and 11 (18 %) women had perianal symptoms and/or symptomatic external hemorrhoidal complaints at 11-14th, 24th and 37th gestational weeks respectively. Only four (6.6 %) patients experienced painful hemorrhoids. Overall morbidity rate was 18 % (11 cases). Meanwhile, 27 (44.3 %), 25 (41 %) and 29 (47.5 %) women complained from constipation at 11-14th, 24th and 37th gestational weeks respectively. We have found statistically significant relationship with “external hemorrhoids/perianal complications” and gestation induced constipation (p<0.001). Conclusion: Various risk factors and biological rationales exist behind the high frequency of hemorrhoids during pregnancy. In this study, we tried to demonstrate the direct effect of pregnacy itself on the occurrence of perianal symptoms and external hemorrhoids by using primigravid subjects without personal history of related complaints. Overall morbidity rate was 18 %.