Can a woman with hemorrhoids deliver vaginally?

Aug 08, 2022 Source: Cainiu Health
Dr. Chen Zhe
Introduction
Pregnant women with hemorrhoids suffer greatly, as hemorrhoids are commonly associated with constipation and post-defecation bleeding. During vaginal delivery, women with hemorrhoids must exert significant abdominal pressure—similar to straining for two hours during constipation—which often exacerbates their hemorrhoidal symptoms. Thus, while hemorrhoids themselves do not contraindicate natural childbirth, they can adversely affect quality of life and postpartum recovery.

Many expectant mothers believe that vaginal delivery is beneficial for both themselves and their babies. They are also aware that numerous emergencies may arise during labor, requiring close attention to various aspects throughout the process. So, can women with hemorrhoids deliver vaginally?

Can women with hemorrhoids deliver vaginally?
Pregnant women suffering from hemorrhoids often experience significant discomfort, as hemorrhoids are commonly associated with constipation and post-defecation bleeding. During vaginal delivery, intense pushing is required—similar to straining for two hours during constipation—which typically exacerbates hemorrhoidal symptoms. Thus, while hemorrhoids themselves do not impede natural childbirth, they can negatively impact quality of life and postpartum recovery. Therefore, prevention is key: women should ideally treat existing hemorrhoids prior to conception, establish healthy bowel habits, and avoid constipation. Hemorrhoids are essentially a form of venous varicosity; during pregnancy, medication may be prescribed under medical supervision, and efforts should be made to minimize hemorrhoidal flare-ups.

If severe hemorrhoids develop postpartum, prompt consultation with healthcare professionals—including general surgeons and obstetrician-gynecologists—is recommended. These specialists offer localized conservative treatments. In cases of severe hemorrhoids requiring surgical intervention, timely referral to a proctologist or colorectal specialist is essential. If breastfeeding is possible and recovery is progressing well, initiating appropriate treatment promptly is advisable. Although hemorrhoids may seem minor, they can significantly impair daily functioning and quality of life. Expectant mothers are encouraged to seek timely treatment; however, hemorrhoids themselves do not hinder successful vaginal delivery.

Pregnant women are advised to maintain a light, bland diet and avoid spicy or irritating foods. We hope this information proves helpful.