Hemorrhoids during pregnancy: Status update on the problem
https://doi.org/10.21518/akh2025-053
Abstract
Hemorrhoids are the most common reason for patients to visit a proctologist, accounting for 34–41% of all colon diseases. Patients with hemorrhoids during pregnancy form a specific group of patients. Currently, there are no specific guidelines for the treatment of hemorrhoids in pregnant women. Due to the introduction of new drugs and methods of treating hemorrhoids, in order to observe the current state of the problem, an analysis of publications on the topic of “hemorrhoids during pregnancy” over the past 10 years, which are in the public domain on the PubMed platform, was conducted. The search for publications was carried out using the keywords “hemorrhoids in pregnant women”. 18 works were devoted to the problem of hemorrhoids in pregnant women on the PubMed resource from 2014 to 2024. Having analyzed the literature data for the period, absence of clear guidlines for the treatment of hemorrhoids in pregnant women can be noted. Most publications note the prevalence of conservative treatment methods. At the same time, researchers evaluate the effectiveness of the conservative treatment methods used differently. Most authors note the normalization of stool with the elimination of constipation as an important pathogenetic moment. Surgical treatment is used less often. At the same time, a positive effect from it is noted. In conclusion summing up the data, we can admit that clinically significant hemorrhoids in pregnant women are widespread. However, there are no clear algorithms and guidelines for treatment. The literature data presented are often contradictory, due to the small sample, cannot be fully extrapolated to the population.
About the Authors
M. B. Kravchenko
LLC Medical Center Academy of Health
Russian Federation
Russian Federation
Maria B. Kravchenko, Coloproctologist,
Novoselov St., Noyabrsk, Tyumen Region, 629800
L. N. Komarova
Tyumen State Medical University
Russian Federation
Russian Federation
Lidia N. Komarova, Dr. Sci. (Med.), Professor of the Department of Surgery with a course in Urology and Endoscopy,
54, Odesskaya St., Tyumen, 625023
G. A. Shishkina
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Galina A. Shishkina, Dr. Sci. (Med.), Professor of Department of Hospital Surgery named after V.A. Oppel,
47, Piskarevsky Ave., St Petersburg, 195067
A. V. Petryashev
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Aleksey V. Petryashev, Cand. Sci. (Med.), Assistant of Department of Hospital Surgery named after V.A. Oppel,
47, Piskarevsky Ave., St Petersburg, 195067
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Review
For citations:
Kravchenko M.B., Komarova L.N., Shishkina G.A., Petryashev A.V. Hemorrhoids during pregnancy: Status update on the problem. Ambulatornaya khirurgiya = Ambulatory Surgery (Russia). 2025;22(2):142-148. (In Russ.) https://doi.org/10.21518/akh2025-053
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