Conservative management of symptomatic and/or complicated haemorrhoids in pregnancy and the puerperium.

Abstract:

BACKGROUND:Haemorrhoids (piles) are swollen veins at or near the anus, normally asymptomatic. They do not constitute a disease, unless they become symptomatic. Pregnancy and the puerperium predispose to symptomatic haemorrhoids, being the most common ano-rectal disease at these stages. Symptoms are usually mild and transient and include intermittent bleeding from the anus and pain. Depending on the degree of pain, quality of life could be affected, varying from mild discomfort to real difficulty in dealing with the activities of everyday life. Treatment during pregnancy is mainly directed to the relief of symptoms, especially pain control. The so-called conservative management includes dietary modifications, stimulants or depressants of the bowel transit, local treatment, and phlebotonics (drugs that cause decreased capillary fragility, improving the microcirculation in venous insufficiency). For many women, symptoms will resolve spontaneously soon after birth, and so any corrective treatment is usually deferred to some time after birth. Thus, the objective of this review is to evaluate the efficacy of conservative management of piles during pregnancy and the puerperium. OBJECTIVES:To determine the possible benefits, risks and side-effects of the conservative management of symptomatic haemorrhoids during pregnancy and the puerperium. SEARCH STRATEGY:We searched the Cochrane Pregnancy and Childbirth Group Trials Register (30 June 2004). SELECTION CRITERIA:Randomised-controlled trials comparing any of the conservative treatments for symptomatic haemorrhoids during pregnancy and the puerperium (such as dietary modifications, stimulant/depressant of the bowel transit, local treatments, drugs that improve the microcirculation in venous insufficiency) with a placebo or no treatment. DATA COLLECTION AND ANALYSIS:Two review authors independently performed a methodological assessment for deciding which studies to include/exclude from the review and extracted data. MAIN RESULTS:From 10 potentially eligible studies, two were included in this review (150 women). Both compared oral rutosides against placebo. Rutosides seem to be effective in reducing the signs identified by the healthcare provider, and symptoms and signs reported by women, of haemorrhoidal disease. For the outcome no response to treatment: relative risk 0.07, 95% confidence interval 0.03 to 0.20. Regarding perinatal outcomes, one fetal death and one congenital malformation (possible not related to exposure) were reported in the control and treatment group respectively. AUTHORS' CONCLUSIONS:Although the treatment with oral hydroxyethylrutosides looks promising for symptom relief in first and second degree haemorrhoids, its use cannot be recommended until new evidence reassures women and their clinicians about their safety. The most commonly used approaches, such as dietary modifications and local treatments, were not properly evaluated during pregnancy and the puerperium.

authors

Quijano CE,Abalos E

doi

10.1002/14651858.CD004077.pub2

keywords:

subject

Has Abstract

pub_date

2005-07-20 00:00:00

pages

CD004077

issue

3

issn

1469-493X

pub_type

杂志文章,评审
  • Artemether for severe malaria.

    abstract:BACKGROUND:In 2011 the World Health Organization (WHO) recommended parenteral artesunate in preference to quinine as first-line treatment for people with severe malaria. Prior to this recommendation, many countries, particularly in Africa, had begun to use artemether, an alternative artemisinin derivative. This review ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD010678.pub2

    authors: Esu E,Effa EE,Opie ON,Uwaoma A,Meremikwu MM

    更新日期:2014-09-11 00:00:00

  • Serenoa repens for benign prostatic hyperplasia.

    abstract:OBJECTIVES:This systematic review aimed to assess the effects of Serenoa repens in the treatment of Benign Prostatic Hyperplasia (BPH). SEARCH STRATEGY:Trials were searched in computerized general and specialized databases (MEDLINE, EMBASE, Cochrane Library, Phytodok), by checking bibliographies, and by contacting man...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD001423

    authors: Wilt T,Ishani A,Stark G,MacDonald R,Mulrow C,Lau J

    更新日期:2000-01-01 00:00:00

  • Transfusion of fresher versus older red blood cells for all conditions.

    abstract:BACKGROUND:Red blood cell transfusion is a common treatment for anaemia in many clinical conditions. One current concern is uncertainty as to the clinical consequences (notably efficacy and safety) of transfusing red blood cell units that have been stored for different durations of time before a transfusion. If evidenc...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD010801.pub2

    authors: Brunskill SJ,Wilkinson KL,Doree C,Trivella M,Stanworth S

    更新日期:2015-05-12 00:00:00

  • Anticoagulation for heart failure in sinus rhythm.

    abstract:BACKGROUND:Patients with chronic heart failure (heart failure) are at risk of thromboembolic events, including stroke, pulmonary embolism and peripheral arterial embolism, whilst coronary ischaemic events also contribute to the progression of heart failure. Long-term oral anticoagulation is established in certain group...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003336

    authors: Lip GY,Gibbs CR

    更新日期:2001-01-01 00:00:00

  • Uterine artery embolization for symptomatic uterine fibroids.

    abstract:BACKGROUND:Uterine fibroids cause heavy prolonged bleeding, pain, pressure symptoms and subfertility. The traditional method of treatment has been surgery as medical therapies have not proven effective. Uterine artery embolization has been reported to be an effective and safe alternative to treat fibroids in women not ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD005073.pub4

    authors: Gupta JK,Sinha A,Lumsden MA,Hickey M

    更新日期:2014-12-26 00:00:00

  • Smoking cessation intervention for reducing disease activity in chronic autoimmune inflammatory joint diseases.

    abstract:BACKGROUND:Chronic inflammatory joint diseases (IJDs) affect 1% to 2% of the population in developed countries. IJDs include rheumatoid arthritis (RA), ankylosing spondylitis (AS), psoriatic arthritis (PsA), and other forms of spondyloarthritis (SpA). Tobacco smoking is considered a significant environmental risk facto...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章

    doi:10.1002/14651858.CD012958.pub2

    authors: Roelsgaard IK,Esbensen BA,Østergaard M,Rollefstad S,Semb AG,Christensen R,Thomsen T

    更新日期:2019-09-02 00:00:00

  • Antibiotic prophylaxis for surgery for proximal femoral and other closed long bone fractures.

    abstract:BACKGROUND:Surgical site infection and other hospital-acquired infections cause significant morbidity after internal fixation of fractures. The administration of antibiotics may reduce the frequency of infections. OBJECTIVES:To determine whether the prophylactic administration of antibiotics in people undergoing surgi...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD000244.pub2

    authors: Gillespie WJ,Walenkamp GH

    更新日期:2010-03-17 00:00:00

  • Radical multimodality therapy for malignant pleural mesothelioma.

    abstract:BACKGROUND:Malignant pleural mesothelioma is an almost always fatal tumour, for which palliative platinum-based chemotherapy is currently the standard treatment. Multimodal therapeutic strategies incorporating surgery, radiation therapy or photodynamic therapy and chemotherapy have been recommended for selected patient...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD012605.pub2

    authors: Abdel-Rahman O,Elsayed Z,Mohamed H,Eltobgy M

    更新日期:2018-01-08 00:00:00

  • Absorbable staples for uterine incision at caesarean section.

    abstract:BACKGROUND:Staples can be placed during the making of an incision, with the aim of decreasing blood loss from the cut edges. OBJECTIVES:The objective of this review was to assess the effects of using a stapler with absorbable staples to extend the uterine incision at lower segment caesarean section. SEARCH STRATEGY:W...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD000005

    authors: Wilkinson C,Enkin MW

    更新日期:2000-01-01 00:00:00

  • Epidermal growth factor receptor blockers for the treatment of ovarian cancer.

    abstract:BACKGROUND:This is an update of a previously published version of the review (Issue 10, 2011).Epithelial ovarian cancer (EOC) is the seventh most common cause of cancer death among women worldwide. Treatment consists of a combination of surgical debulking and platinum-based chemotherapy. Between 55% and 75% of women wh...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD007927.pub4

    authors: Morrison J,Thoma C,Goodall RJ,Lyons TJ,Gaitskell K,Wiggans AJ,Bryant A

    更新日期:2018-10-16 00:00:00

  • Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease.

    abstract:BACKGROUND:Pulmonary rehabilitation has become a cornerstone in the management of patients with stable Chronic Obstructive Pulmonary Disease (COPD). Systematic reviews have shown large and important clinical effects of pulmonary rehabilitation in these patients. In unstable COPD patients who have suffered from an exace...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD005305.pub2

    authors: Puhan M,Scharplatz M,Troosters T,Walters EH,Steurer J

    更新日期:2009-01-21 00:00:00

  • WITHDRAWN: Prostaglandins versus oxytocin for prelabour rupture of membranes at term.

    abstract:BACKGROUND:The conventional method of induction of labour is with intravenous oxytocin. More recently, induction with prostaglandins, followed by an infusion of oxytocin if necessary, has been used. OBJECTIVES:The objective of this review was to assess the effects of induction of labour with prostaglandins versus oxyt...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD000159

    authors: Tan BP,Hannah ME

    更新日期:2007-07-18 00:00:00

  • Eletriptan for acute migraine headaches in adults.

    abstract::This is the protocol for a review and there is no abstract. The objectives are as follows: The objective of the review will be to determine the efficacy and tolerability of eletriptan compared to placebo and other active interventions in the treatment of acute migraine headaches in adults. ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章

    doi:10.1002/14651858.CD008490

    authors: Derry S,Moore RA,McQuay HJ

    更新日期:2010-01-01 00:00:00

  • Steroids for idiopathic sudden sensorineural hearing loss.

    abstract:BACKGROUND:This is an update of a Cochrane review first published in The Cochrane Library in Issue 1, 2006 and previously updated in 2009.Idiopathic sudden sensorineural hearing loss (ISSHL) is a clinical diagnosis characterised by a sudden deafness of cochlear or retrocochlear origin in the absence of a clear precipit...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003998.pub3

    authors: Wei BP,Stathopoulos D,O'Leary S

    更新日期:2013-07-02 00:00:00

  • Interventions for preventing post-operative atrial fibrillation in patients undergoing heart surgery.

    abstract:BACKGROUND:Atrial fibrillation is a common post-operative complication of cardiac surgery and is associated with an increased risk of post-operative stroke, increased length of intensive care unit and hospital stays, healthcare costs and mortality. Numerous trials have evaluated various pharmacological and non-pharmaco...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003611.pub3

    authors: Arsenault KA,Yusuf AM,Crystal E,Healey JS,Morillo CA,Nair GM,Whitlock RP

    更新日期:2013-01-31 00:00:00

  • Bisphosphonates and other bone agents for breast cancer.

    abstract:BACKGROUND:Bone is the most common site of metastatic disease associated with breast cancer (BC). Bisphosphonates inhibit osteoclast-mediated bone resorption, and novel targeted therapies such as denosumab, inhibit key pathways in the vicious cycle of bone metastases. OBJECTIVES:To assess the effect of bisphosphonates...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003474.pub3

    authors: Wong MH,Stockler MR,Pavlakis N

    更新日期:2012-02-15 00:00:00

  • The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo.

    abstract:BACKGROUND:This is an update of a Cochrane Review first published in The Cochrane Library in Issue 1, 2002 and previously updated in 2004 and 2007.Benign paroxysmal positional vertigo (BPPV) is a syndrome characterised by short-lived episodes of vertigo in association with rapid changes in head position. It is a common...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003162.pub3

    authors: Hilton MP,Pinder DK

    更新日期:2014-12-08 00:00:00

  • Acupuncture for idiopathic headache.

    abstract:BACKGROUND:Acupuncture is widely used for the treatment of headache, but its effectiveness is controversial. OBJECTIVES:To determine whether acupuncture is: - more effective than no treatment - more effective than 'sham' (placebo) acupuncture - as effective as other interventions used to treat idiopathic (primary) hea...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD001218

    authors: Melchart D,Linde K,Fischer P,Berman B,White A,Vickers A,Allais G

    更新日期:2001-01-01 00:00:00

  • Palliative interventions for controlling vaginal bleeding in advanced cervical cancer.

    abstract:BACKGROUND:This is an updated version of the original Cochrane review published in Issue 5, 2015.Cervical cancer is the fourth most common cancer among women worldwide, with estimated 569,847 new diagnoses and 311,365 deaths per year. However, incidence and stage at diagnosis vary greatly between geographic areas and a...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章

    doi:10.1002/14651858.CD011000.pub3

    authors: Eleje GU,Eke AC,Igberase GO,Igwegbe AO,Eleje LI

    更新日期:2019-03-19 00:00:00

  • Pharmacological interventions for smoking cessation: an overview and network meta-analysis.

    abstract:BACKGROUND:Smoking is the leading preventable cause of illness and premature death worldwide. Some medications have been proven to help people to quit, with three licensed for this purpose in Europe and the USA: nicotine replacement therapy (NRT), bupropion, and varenicline. Cytisine (a treatment pharmacologically simi...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009329.pub2

    authors: Cahill K,Stevens S,Perera R,Lancaster T

    更新日期:2013-05-31 00:00:00

  • Visual cycle modulators versus placebo or observation for the prevention and treatment of geographic atrophy due to age-related macular degeneration.

    abstract:BACKGROUND:Age-related macular degeneration (AMD) is a highly prevalent condition in an ever-increasing elderly population. Although insidious in the early stages, advanced AMD (neovascular and atrophic forms) can cause significant visual disability and economic burden on health systems worldwide. The most common form,...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD013154.pub2

    authors: Yeong JL,Loveman E,Colquitt JL,Royle P,Waugh N,Lois N

    更新日期:2020-12-17 00:00:00

  • Acupuncture for slowing the progression of myopia in children and adolescents.

    abstract:BACKGROUND:Myopia (near-sightedness or short-sightedness) is one of the three commonly detected refractive (focusing) errors. Acupuncture is the stimulation of acupuncture points by various methods including needle insertion and acupressure. It is often used by traditional Chinese medicine practitioners to treat myopia...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD007842.pub2

    authors: Wei ML,Liu JP,Li N,Liu M

    更新日期:2011-09-07 00:00:00

  • Surgical versus conservative interventions for treating fractures of the middle third of the clavicle.

    abstract:BACKGROUND:Clavicle fractures are common, accounting for 2.6% to 4% of all fractures. Eighty per cent of clavicle fractures are located in the middle third of the clavicle. Although treatment of these fractures is usually non-surgical, displaced clavicle fractures may be considered for surgical treatment because of the...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009363.pub2

    authors: Lenza M,Buchbinder R,Johnston RV,Belloti JC,Faloppa F

    更新日期:2013-06-06 00:00:00

  • Pharmacological interventions for obsessive-compulsive personality disorder.

    abstract::This is the protocol for a review and there is no abstract. The objectives are as follows: To evaluate the potential beneficial and adverse effects of pharmacological interventions for people with obsessive-compulsive personality disorder and to make recommendations for future areas of research. ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章

    doi:10.1002/14651858.CD008517

    authors: Alex R,Ferriter M,Jones H,Huband N,Duggan C,Völlm BA,Stoffers J,Lieb K

    更新日期:2010-01-01 00:00:00

  • WITHDRAWN: Interventions for guttate psoriasis.

    abstract:BACKGROUND:Guttate psoriasis is a distinctive acute form of psoriasis which characteristically occurs in children and young adults. Very little specific evidence-based guidance is available in standard texts to help make rational decisions about treatment options. OBJECTIVES:To assess the effectiveness of treatments f...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD001213.pub2

    authors: Chalmers R,O'Sullivan T,Owen CM,Griffiths CE

    更新日期:2019-04-09 00:00:00

  • Interventions for improving the psychosocial well-being of children affected by HIV and AIDS.

    abstract:BACKGROUND:As a result of HIV-related mortalities more than 13 million children under the age of 15 have lost a parent due to HIV and AIDS. There are also many children who have HIV-positive parents or primary caregivers; these children are affected by HIV and AIDS and are potentially vulnerable to HIV transmission. Ch...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD006733.pub2

    authors: King E,De Silva M,Stein A,Patel V

    更新日期:2009-04-15 00:00:00

  • Slow-release oral morphine as maintenance therapy for opioid dependence.

    abstract:BACKGROUND:Opioid substitution treatments are effective in retaining people in treatment and suppressing heroin use. An open question remains whether slow-release oral morphine (SROM) could represent a possible alternative for opioid-dependent people who respond poorly to other available maintenance treatments. OBJECT...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009879.pub2

    authors: Ferri M,Minozzi S,Bo A,Amato L

    更新日期:2013-06-05 00:00:00

  • Vitamin C for preventing and treating tetanus.

    abstract:BACKGROUND:Tetanus is a severe infection that can be prevented by vaccination. In developing countries vaccination coverage is not always high and in developed countries cases may still occur, particularly in elderly people owing to their reduced immunoprotection. It has been estimated that there are about one million ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD006665.pub2

    authors: Hemilä H,Koivula TT

    更新日期:2008-04-16 00:00:00

  • Vaginal dilator therapy for women receiving pelvic radiotherapy.

    abstract:BACKGROUND:Vaginal dilation therapy is advocated after pelvic radiotherapy to prevent stenosis (abnormal narrowing of the vagina), but can be uncomfortable and psychologically distressing. OBJECTIVES:To assess the benefits and harms of different types of vaginal dilation methods offered to women treated by pelvic radi...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD007291.pub3

    authors: Miles T,Johnson N

    更新日期:2014-09-08 00:00:00

  • Oral betamimetics for maintenance therapy after threatened preterm labour.

    abstract:BACKGROUND:Some women who have threatened to give birth prematurely, subsequently settle. They may then take oral tocolytic maintenance therapy to prevent preterm birth and to prolong gestation. OBJECTIVES:To assess the effects of oral betamimetic maintenance therapy after threatened preterm labour for preventing pret...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003927.pub3

    authors: Dodd JM,Crowther CA,Middleton P

    更新日期:2012-12-12 00:00:00