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Post a Comment Hemorrhoids in pregnant and postpartum women: risk factors
- Authors: Romanovskaya А.V.1, Parshin A.V.1, Arzhaeva I.А.1, Karagyozyan K.M.1
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Affiliations:
- Saratov State Medical University named after V.I. Razumovsky
- Issue: Vol 42, No 3 (2025)
- Pages: 75-85
- Section: Original studies
- URL: https://bakhtiniada.ru/PMJ/article/view/312900
- DOI: https://doi.org/10.17816/pmj42375-85
- ID: 312900
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Abstract
Objective. To investigate the main risk factors and symptoms of hemorrhoids in maternity patients in the postpartum department of the PC of the Saratov region for the period from 2021 to 2022 by means of anonymous questionnaire.
Materials and methods. Patients were categorized into 3 groups according to receipt of progesterone therapy during the last pregnancy: In Group I, pregnant and postpartum women did not receive hormonal therapy (n=114). Group II included pregnant and postpartum women who received progesterone during their pregnancy for not more than 1 trimester (n=64). Group III consisted of pregnant and postpartum women whose pregnancy resulted from IVF. They received progesterone therapy for 2 or more trimesters (n=36).
Results. The study revealed that hemorrhoid symptoms were statistically more frequent in the women from group III, who had received progesterone hormone therapy for more than 2 trimesters. The most significant risk factors for the development of hemorrhoids in pregnant and postpartum women were: natural delivery: the number of births 3 and more; prolonged gestagens intake; tendency to constipation; positive family history of hemorrhoidal and varicose diseases.
Conclusions. Unfortunately, hemorrhoids in pregnant and postpartum women is still an urgent problem of interdisciplinary control of proctologic complaints in pregnant and postpartum women. Most physicians do not give recommendations on the present symptomatology in women.
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##article.viewOnOriginalSite##About the authors
А. V. Romanovskaya
Saratov State Medical University named after V.I. Razumovsky
Email: maksim.polidanoff@yandex.ru
ORCID iD: 0000-0003-4736-2749
DSc (Medicine), Professor, Head of the Department of Obstetrics and Gynecology of the Faculty of Medicine, the Director of the Clinic of Obstetrics and Gynecology, Chief External Gynecology Consultant to the Ministry of Health of the Saratov Region
Russian Federation, SaratovA. V. Parshin
Saratov State Medical University named after V.I. Razumovsky
Author for correspondence.
Email: maksim.polidanoff@yandex.ru
ORCID iD: 0000-0001-8793-4786
PhD (Medicine), Associate Professor, Associate Professor of the Department of Obstetrics and Gynecology of the Faculty of Medicine
Russian Federation, SaratovI. А. Arzhaeva
Saratov State Medical University named after V.I. Razumovsky
Email: maksim.polidanoff@yandex.ru
PhD (Medicine), Associate Professor, Associate Professor of the Department of Obstetrics and Gynecology of the Faculty of Medicine
Russian Federation, SaratovK. M. Karagyozyan
Saratov State Medical University named after V.I. Razumovsky
Email: maksim.polidanoff@yandex.ru
Assistant of the Department of Obstetrics and Gynecology of the Faculty of Medicine
Russian Federation, SaratovReferences
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