Abstract

ANAL FISSURE AND THROMBOSED EXTERNAL HEMORRHOIDS BEFORE AND AFTER DELIVERY

Lateef Shareef Sabeeh*, Mizda Abdulateef Othman and Hanaa Mohammed Moheyaldeen

Abstract

One third of patients have anal lesions after delivery. Fifty-seven percent of these patients have thrombosed external hemorrhoids, and 43 percent have an anal fissure. Thrombosed external hemorrhoids occur during and immediately after delivery, whereas anal fissure occurs during the two months after delivery. During the last 3 months of pregnancy, we observed lesions in 9.1 percent of cases, corresponding essentially (87 percent) to thrombosed external hemorrhoids. Terminal constipation is the most important risk factor for anal lesions in pregnant females, which suggests that laxative treatment should be given during childbirth and in the postpartum period to all patients with terminal constipation during childbirth.

Keywords: Anal Fissure, Thrombosed External, Hemorrhoids, Delivery.