Investigating the Prevalence of Anorectal Complications and the Factors Influencing it During Pregnancy and After Child Birth in Natural Delivery and Cesarean Among the Pregnant Women

Sima Ghasemzade¹ , Mehri Seifoleslami² , Pedram Bobe Jame³ and Aghdas Safari^1*

¹Department of Gynecology, Imam Reza Hospital , AJA University of Medical Sciences, Tehran, Iran ²Department of Gynecology, Khanevadeh Hospital, AJA University of Medical Sciences, Tehran, Iran ³Medical Student , AJA University of Medical Sciences, Tehran, Iran. Correspnding author Email: safari1344@yahoo.com

DOI : http://dx.doi.org/10.13005/bbra/2046

ABSTRACT: Anorectal disorders are among the most common digestive complications among pregnant women. Due to the physical and psychological recurring problems they cause for patients, these complications will result in a significant reduction in the quality of the life of those afflicted. In this study, we will seek to study the prevalence of Anorectal complications and the factors influencing it during pregnancy and after child birth in natural delivery and Cesarean. this research is an observatory study based on the descriptive and sectional methods. 200 pregnant women resorting to the maternity ward of Golestan and Besat Family Hospital in the years 2009 and 2010 were selected and the existence of Hemorrhoids and Fissure was measured through inspection in three phases before and during pregnancy and during childbirth and one month after it. The results were recorded in questionnaires. Other variables such as parity, type of the previous and current childbirth, previous experience of anal disorders, weight of the baby and length of the second phase of Lieber and their relationship with the prevalence of Anorectal disorders were also taken into consideration. SPSS software was utilized to analyze the data. a significant statistical relationship was observed between parity and Hemorrhoids and Fissure in post-delivery phase and the highest level of it was observed in people with parity levels above 2 (p= 0.0001). A significant statistical relationship was seen between type of the previous childbirth and Hemorrhoids in post-delivery phase and the highest level was observed during the post-delivery period (p= 0.008). The same type of relationship was also observed with Fissure (p= 0.0001). A significant statistical relationship was also observed between previous records of anal disorders and Hemorrhoids and Fissure in post-delivery phase, and its highest level was seen in post-delivery phase in people with a past records of anal disorders (p= 0.0001). No significant statistical association was seen between the current type of child delivery and Hemorrhoids and Fissure, although its highest level was observed in post-delivery phase in people who had natural childbirth (p > 0.05). A significant statistical association was observed between the weight of the baby and Hemorrhoid and Fissure in post-delivery phase and its highest level was seen in post-delivery phase in children over the weight of 3700 grams (p= 0.0001). A significant statistical association was observed between the length of the second phase of natural childbirth and Hemorrhoid and Fissure in post-delivery phase. The highest levels of Fissure in post-delivery phase were observed in people with the length of more than 50 minutes (p= 0.0001). in this study, a significant statistical relationship was observed between post-delivery Anorectal disorders with parity, type of previous childbirth, past experience of anal disorders, weight of the baby, and the length of the second phase of Lieber. No significant statistical association was observed between type of the current childbirth (Cesarean or Natural) and the above mentioned disorders.

KEYWORDS: Hemorrhoid; Fissure; Natural childbirth; Cesarean childbirth

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