Can a pregnant woman with hemorrhoids have a vaginal delivery?

Whether a pregnant woman with hemorrhoids can have a vaginal delivery depends on the severity of the hemorrhoids. Mild hemorrhoids generally do not affect vaginal delivery, while severe hemorrhoids may require consideration of a cesarean section. If any abnormalities occur, prompt medical attention is recommended. Detailed analysis is as follows:

If a pregnant woman has mild hemorrhoid symptoms, such as slight swelling or occasional minor rectal bleeding, and the fetal position and birth canal conditions are favorable, vaginal delivery is usually possible. During vaginal delivery, increased abdominal pressure as the baby passes through the birth canal may temporarily cause hemorrhoid congestion, but in most cases, this does not significantly impede labor. Postpartum, hemorrhoid symptoms usually improve gradually with dietary adjustments and maintaining regular bowel movements. When a pregnant woman's hemorrhoids are in an acute flare-up phase, characterized by prolapsed hemorrhoids that cannot be pushed back in, severe pain, or heavy bleeding, or if the hemorrhoids are large and repeatedly prolapse, the intense abdominal pressure during vaginal delivery could rapidly worsen the hemorrhoid condition, potentially causing hemorrhoid strangulation, necrosis, and an increased risk of postpartum infection. Additionally, pain may interfere with the mother's ability to push effectively, thereby disrupting labor progression. In such cases, doctors will comprehensively evaluate the situation and may recommend cesarean section as the preferred option. Pregnant women with hemorrhoids should communicate fully with their obstetricians prior to delivery. Doctors will assess the severity of the hemorrhoids and the risks associated with childbirth. Preventing constipation during pregnancy through a high-fiber diet and adequate hydration is also important.