In this article:
What Are Haemorrhoids and Why Do They Occur in Pregnancy?
Haemorrhoid is a condition in which the veins around your anus swell. They may sound similar to varicose veins that appear on the legs, but they occur in a more sensitive region of your body. You may have haemorrhoids during pregnancy because of many factors.- Your body produces up to 50% more blood to support your growing baby, which puts extra pressure on the veins.
- Progesterone relaxes your blood vessel walls, making them more prone to swelling.
- The uterus presses on the pelvic veins as your baby grows, which slows blood flow from the lower body.
- Constipation is common in pregnancy due to iron supplements or diet changes, but straining while passing stool increases rectal pressure.
Why Can Haemorrhoids Get Worse During Labour?
Labour puts intense strain on your lower body with each push, increasing pressure inside your abdomen and pelvis. It also affects the veins around your anus.- Straining and pressure – The force used to push the baby out causes veins to swell even more, leading to larger or more painful haemorrhoids.
- Prolonged second stage – If pushing takes a long time, it gives more time for pressure to build up.
- Existing haemorrhoids – They can become irritated and painful after childbirth if you already had them during pregnancy.
- Vaginal delivery – Women who deliver vaginally tend to experience more haemorrhoid problems than those having a C-section because of direct pressure on the rectal veins.
What Are the Symptoms You Might Notice After Labour?
You may notice the signs listed below.- Pain or discomfort when sitting or passing stool
- Itching or burning around the anus
- A feeling of fullness or swelling
- Small lumps near the anus
- Bright red bleeding after bowel movements
Are Postpartum Haemorrhoids Dangerous?
Haemorrhoids in the postpartum stage are not dangerous, but they can cause a lot of discomfort. Consult your doctor if you notice the following signs.- Severe pain that does not improve
- Continuous or heavy bleeding
- Black or tarry stools
- Fever or pus
What Can You Do to Manage and Prevent Worsening During Labour?
You can take steps to reduce the risk of worsening during labour. The following steps can guide you on what to do before and after delivery.Before Labour
- Eat fibre-rich foods, such as fruits, vegetables, and whole grains, to prevent constipation.
- Drink 8–10 glasses of water daily.
- Standing or walking helps improve circulation.
- Do pelvic floor exercises (Kegels) to strengthen the muscles around the anus and vagina.
- Push only when your doctor or midwife advises you to.
- Squatting or side-lying may reduce rectal pressure compared to lying flat.
- Controlled breathing may reduce unnecessary straining.
- Apply cold compresses to reduce swelling and pain.
- Sit in warm water for 10–15 minutes to soothe the area.
- Take stool softeners if needed or after consulting your doctor.
- Use gentle wipes or water instead of harsh toilet paper.
- Allow your body to recover naturally.
When Should You See a Doctor?
Contact your doctor if you feel the symptoms are not improving.- Pain worsens rather than improves after a week.
- You notice heavy bleeding or blood clots.
- The swelling becomes hard and very painful.
- Over-the-counter creams don’t provide relief.
What To Do Next: Quick Checklist
The following guide can help you stay comfortable:- Eat high-fibre foods and stay hydrated
- Do not sit for long hours
- Do gentle pelvic exercises
- Go to your doctor if haemorrhoids bleed
- Use cold compresses and sitz baths after labour
Emotional and Social Aspects
The subject of haemorrhoids may feel embarrassing to discuss with anyone. Remember it’s not only you who’s suffering. Just talk about it openly with your doctor or partner to find solutions. The physical changes in your body during pregnancy may lead to haemorrhoids, so it is not your fault. Keep your focus on recovery by taking rest and eating fibre-rich foods.Haemorrhoids are a common problem in pregnancy and may get worse during labour due to intense pushing and pressure. While they can cause discomfort, they improve with time and proper care. Staying mindful of prevention, following good bowel habits, and seeking timely medical advice will help you recover comfortably.
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FAQs on How Pregnancy Haemorrhoids Can Worsen During Labour
- How long do haemorrhoids last after delivery?
It can take a few days to a couple of weeks to recover from mild haemorrhoids after you deliver the baby. However, severe or thrombosed ones may take longer to heal. - Can haemorrhoids affect normal delivery?
Haemorrhoids do not prevent you from having a normal delivery, but they may cause some discomfort during pushing. You can discuss options with your doctor for pain management before labour. - Are haemorrhoid creams safe to use after delivery?
Topical creams can be safe to use, but always consult your doctor before using them if you are pregnant or breastfeeding.