Author/Authors :
قهرماني، ليلا نويسنده دانشكده علوم پزشكي- دانشگاه تربيت مدرس Ghahremani, L , حسيني، سيد وحيد نويسنده hosseini, vahdi , رحيمي كازروني، سالار نويسنده Colorectal Research Center, Shaheid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Rahimikazerooni, Salar , بنان زداه، علي محمد نويسنده Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran bananzadeh, Alimohammad , نام آور جهرمي، بهيه نويسنده Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, IR Iran Namavar Jahromi, Bahia , صمصامي، عالم تاج نويسنده Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, IR Iran Samsam, Alamtaj , رضاييان زاده، عباس نويسنده Rezaeeanzade , abbas , صفرپور، عليرضا نويسنده دانشگاه علوم پزشكي شيراز, , , باقرپور جهرمي، علي نويسنده دانشگاه علوم پزشكي بقيه الله (عج),مركز تحقيقات ترما Bagherpour Jahromi, ali , بني هاشمي، سيدحسام الدين نويسنده Department of Surgery, Hormozgan University of Medical Sciences, Bandar Abbas, IR Iran Banihashemi, Seyed Hesamaddin
Abstract :
Background: Pregnancy and delivery make susceptible women to hemorrhoidal disease and fissure during pregnancy because of an increase
in abdominal pressure and constipation. Objectives: We aimed to determine the preventative effect of psyllium powder (herbal laxative) on constipation, anal fissure and hemorrhoidal
diseases during pregnancy. Patients and Methods: Regarding the properties of oral psyllium powder, in this study, we aimed to determine the preventative effect of
psyllium powder on constipation, anal fissure and hemorrhoidal diseases during pregnancy. This is a randomized clinical trial. All primigravid
women, aging 20 - 30, at the onset of 3rd trimester who referred to OB clinic of Shiraz university of medical sciences were divided into two
groups. Treatment group received psyllium powder twice daily while control group received placebo. All cases were evaluated two times
before delivery and occurrence of constipation and fissure and hemorrhoid were assessed by a single team. Results: The mean and SD of age in group A (psyllium consumption group) was 29.9 ± 2.24 and in group B (placebo group) was 29.5 ± 2.48.
Comparison between three outcome variables (hemorrhoid, fissure and constipation) revealed significant difference in group A and group
B, P < 0.001). Conclusions: According to our study psyllium powder consumption during the third trimester of pregnancy could significantly prevent
constipation, hemorrhoid anal fissure.
