Dr Saira Bashir, Dr Alvina Khan, Dr. Muhammad Naveed
Objective: To recognize occurrence also danger issues of hemorrhoids and fissures throughout pregnancy and afterwards childbirth. Population: The overall 290 pregnant females trailed up till 1 month after delivery. Methods: Females remained inspected 4 times via pregnancy and after delivery; those that developed perianal diseases were compared with those that did not. Main outcome measures Incidence, time and risk factors of hemorrhoids and fissures. Our current research was led at Sir Ganga Ram Hospital, Lahore from April 2018 to March 2019. Results: In altogether, 127 (45.7%) females established perianal illness:1.7% in initial trimester, 64% throughout 3rd trimester, 35.2% afterwards delivery and 4.4% 1 month after delivery; 118 (41.8%) females remained analyzed by hemorrhoids, seven (2.6%) with hemorrhoids and anal fissure and two (0.73%) with anal fissure. Ninety-nine (80.5%) women had vaginal delivery and 26 (19.6%) women had undergone caesarean section. Multivariate analysis identified personal history of perianal diseases (odds ratio [OR] 11.93; 95% confidence interval [96% CI] 2.18–65.30), constipation (OR 18.98; 95% CI 7.13–50.54), straining throughout delivery for extra than 21 mins (OR 28.77; 96% CI 5.01–226.24) and birthweight of newborn >3800 g (OR 18.98; 96% CI 4.28–97.50) as substantial analysts of hemorrhoids and anal fissures throughout pregnancy and perinatal phase. Conclusions: Hemorrhoids and fissures remain mutual throughout last trimester of pregnancy and one month afterwards delivery, through constipation, individual past of hemorrhoids or fissures, birth weight of new >3806 g, straining throughout delivery for extra than 21 mins being self-sufficiently related risk factors. Keywords: Anal fissure, hemorrhoids, pregnancy, prospective study, risk.