Postpartum Hemorrhoids: Recovery After Birth
Postpartum hemorrhoids are one of the least talked-about parts of recovering from birth, and one of the most common. Hours of pushing, the pressure of the baby’s head and constipation in the days afterwards can all leave swollen, sore hemorrhoids behind, at exactly the moment you have the least time to deal with them. They usually settle within a few weeks. Here’s how to make those weeks easier.
Contact your midwife, health visitor or doctor if you have heavy rectal bleeding, a very painful hard lump, fever, pain that is getting worse, or any problem controlling your bowels or wind. If you had stitches or a tear, follow the care instructions you were given, and ask before using any cream near a wound.
Why they happen after birth
- Pushing during labour greatly increases pressure on the anal veins.
- Hemorrhoids that developed during pregnancy can flare after delivery.
- Constipation is common in the first days, from pain relief, iron, dehydration and fear of the first bowel movement.
The first bowel movement
Many new parents dread it, especially after a tear. Stool softeners are often offered in hospital for exactly this reason; ask if you haven’t been given one. Drink plenty, particularly if you’re breastfeeding, eat fiber as soon as you can, and go when you feel the urge. Holding a clean pad gently against the perineum while you go can make it feel more secure. Use a footstool, breathe out, and don’t strain.
Relief that fits around a newborn
| What | How to fit it in |
|---|---|
| Sitz bath | An over-the-toilet basin is quicker than a bath; ten minutes while the baby sleeps. See our sitz bath guide |
| Cold packs or chilled witch hazel pads | Keep a few in the fridge, wrapped, for quick relief |
| Peri bottle | Rinse with warm water instead of wiping |
| Cushion and side-lying | Feed and rest lying on your side to take pressure off |
| Pain relief | Ask your midwife or pharmacist which options suit you, especially if breastfeeding |
Creams and breastfeeding
Several hemorrhoid creams are commonly used after birth, but check with your pharmacist or midwife, especially if you’re breastfeeding or have stitches nearby. Don’t use a steroid cream for longer than advised.
How long they last
Most postpartum hemorrhoids improve noticeably within two to six weeks as swelling goes down and bowel habits settle. If they’re still troublesome at your postnatal check, mention them. Persistent or prolapsing hemorrhoids can be treated, and it’s worth addressing them before a future pregnancy. See how long hemorrhoids usually last.
Frequently Asked Questions
Is it normal to have hemorrhoids after giving birth?
Yes, very. They’re one of the most common after-effects of a vaginal delivery.
Can I use hemorrhoid cream while breastfeeding?
Many are considered compatible, but ask your pharmacist about the specific product.
Could it be something other than hemorrhoids?
Tears and fissures can also cause pain after birth. If pain is sharp during bowel movements, read hemorrhoids vs anal fissures and mention it to your midwife.
What to Read Next
- Hemorrhoids During Pregnancy: What’s Safe
- How to Relieve Hemorrhoid Pain Fast at Home
- Hemorrhoids vs Anal Fissures
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Sources and further reading
General background on hemorrhoids from public health sources:
