TITLE:
External Hemorrhoidal Thrombosis in Recent Births at the Maternity Ward of Saint Camille Hospital in Ouagadougou
AUTHORS:
Hyacinthe Zamane, Aboubacar Coulibaly, Dantola Paul Kain, Sibraogo Kiemtore, Samira Mireille Kanagnama Sanon, Ali Ouedraogo
KEYWORDS:
Hemorrhoid, Thrombosis, Postpartum
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.9,
September
11,
2023
ABSTRACT: Introduction: External hemorrhoidal thrombosis is a clinical is the most common
postpartum proctologic accident. The aim of this work was to study hemorrhoidal
thrombosis in recent mothers, in order to help improve its management. Patients
and Methods: This was a descriptive and analytical cross-sectional study
that was carried out at Saint Camille Hospital in Ouagadougou, Burkina Faso.
Data collection was prospective and took place over a period of three months
from September 1 to November 30, 2019. The study population consisted of recent
births. The interview with the patients and their physical examination enabled
the collection of data. Results: During the study period, 384 women were
examined and 56 (14.6%) of whom presented with external hemorrhoidal
thrombosis. The average age of patients who
presented with external hemorrhoidal thrombosis was 29 years ± 5.2. The
external hemorrhoidal thrombosis appeared in the form of a painful swelling at
the level of the anal margin. In multivariate analysis, dyschezia and personal
history of hemorrhoidal disease were risk factors for external hemorrhoidal
thrombosis in the postpartum period (OR = 37.4 [6.8 - 205.7]; OR = 23.9 [3.3 -
174.2]. Consumption of fruit and foods rich in dietary fiber were protective
factors against the occurrence of this risk (OR = 0.02 [0.002 - 0.3]). Conclusion: External hemorrhoidal
thrombosis remains a complication to be taken into account during the
monitoring of postpartum women. It is important to encourage pregnant women to
consume foods and fruits rich in fiber seem to reduce the risk of its
occurrence.