PREVALENCE AND POSSIBLE RISK FACTORS OF HEMORRHOIDAL THROMBOSIS IN PREGNANCY AND POSTPARTUM PERIOD


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Abstract

Introduction. Nowadays there are no sufficient evidence based data for a scientifically approach to the treatment of hemorrhoids during pregnancy and after childbirth, as well as current data of the prevalence of hemorrhoidal thrombosis (HT) and possible risk factors. Material and methods. The study included pregnant women and puerperas who were actively diagnosed with chronic hemorrhoids (CH) and HT. The physical examination was performed four times: at the woman’s initial visit to the obstetrician-gynecologist, at 24 weeks of pregnancy, at 36 weeks of pregnancy, in the postpartum period (within 7 days after delivery). Patients suffering from HT were asked to answer a questionnaire to determine possible risk factors. Results. A study was conducted on a population of 668 women. 104 women was diagnosed with CH in the postpartum period, and 81 - during pregnancy. The median VAS score with HT was 7. Second delivery, age over 30 years old, lack of physical activity during pregnancy and vaginal delivery are possible risk factors for the development of HT. Conclusions. In the presence of a high risk of HT during pregnancy and in the postpartum period, preventive examinations by a coloproctologist are an important aspect of patient management.

About the authors

Yuliya S. Medkova

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: medkova@kkmx.ru
MD, assistant of the Department of surgery of the Clinical Medicine Institute, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991, Moscow 119435, Moscow, Russian Federation

D. R Markar’yan

I.M. Sechenov First Moscow State Medical University (Sechenov University)

119435, Moscow, Russian Federation

I. A Tulina

I.M. Sechenov First Moscow State Medical University (Sechenov University)

119435, Moscow, Russian Federation

Yu. A Churina

I.M. Sechenov First Moscow State Medical University (Sechenov University)

119435, Moscow, Russian Federation

L. S Aleksandrov

I.M. Sechenov First Moscow State Medical University (Sechenov University)

119435, Moscow, Russian Federation

P. V Tsar’kov

I.M. Sechenov First Moscow State Medical University (Sechenov University)

119435, Moscow, Russian Federation

A. I Ishchenko

I.M. Sechenov First Moscow State Medical University (Sechenov University)

119435, Moscow, Russian Federation

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