Solution To Give Birth To Patients With Third-degree Hemorrhoids?
Dear Doctor, may I ask? I was pregnant with my second child, 4 years ago my first child was born with the SC because of the breech position of her head up, after giving birth to my first child I suffered from ambeyen whose height was already level three (lumps came out and had to be pushed with my fingers) once did an examination regarding my ambeyen, now I am pregnant with my second child, the position of the baby’s head said the doctor was below, I once asked if the BPJS program to give birth to the first child if the distance is more than 3 years, the delivery process can be normal, whereas I afraid, not afraid of giving birth normally but afraid of my hemorrhoids getting worse, well what I want to ask is the solution huh? Is it okay to have a normal childbirth while I have third-degree hemorrhoid disease?
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Hemorrhoids or hemorrhoids are abnormalities in the blood vessels in the anus that dilate and enlarge. Women often complain about the disorder during pregnancy or after delivery. Hemorrhoids are divided into two types, namely internal and external hemorrhoids. External hemorrhoids when a lump appears outside the anus, while internal hemorrhoids occur when a lump of dilated blood vessels originate from within the anus. The following internal hemorrhoidal grading, among others:
Grade 1: lump does not come out, but blood comes out of the anus
Grade 2: The lump can come in and out by itself, accompanied by blood that comes out and feels painful
Grade 3: lumps out but must be helped by hands to get into the anus, blood can come out
Grade 4: The lump cannot be put back into the anus.
Regarding your condition, it is justified that after Caesarean section for more than 3 years, it is permissible to have a vaginal / normal delivery. Of course it should also be based on the consideration of the obstetrician who is treating you.
Grade III hemorrhoids are included in the category of moderate-severe hemorrhoids. Lumps in the anus that come out when pushing cannot return by themselves, but must be pushed into the anus. The influence of pregnancy hormones, enlargement of the uterus and disorders of bowel movements during pregnancy / constipation also influence the severity of hemorrhoids.
Mild hemorrhoids / hemorrhoids (grade I and II) generally do not require operative treatment and will not affect normal labor and are not a contraindication for delivery by the normal / vaginal method. However, these conditions can worsen hemorrhoids after delivery in some cases. While moderate-heavy hemorrhoids, or grade III and IV, although it does not affect the fetus, the condition will certainly complicate the process of straining when labor is normal. And it is feared that bad risks will arise if forced. But that does not mean grade 3 hemorrhoids are not allowed to do normal labor. Some cases of pregnant women can still deliver normally despite being known to have grade III hemorrhoids.
The best effort is to consult directly with your obstetrician to get more complete and relevant information and medical considerations regarding the delivery method that suits your condition. Because not infrequently some obstetricians also choose to recommend a cesarean section after knowing the patient's condition based on the examination that has been done.
To reduce the severity of hemorrhoids, consume foods high in fiber and multiply the consumption of water to reduce the incidence of constipation / difficult bowel movements. So much information that I can convey, hopefully it helps