GEBELİKTE GÖRÜLEN HEMOROİD İLE ANTROPOMETRİK ÖLÇÜMLER VE KAS-İSKELET SİSTEMİ ÖLÇÜMLERİ ARASINDAKİ İLİŞKİNİN İNCELENMESİ

Öz

Amaç: Bu çalışmanın amacı, gebelikte hemoroid varlığı ve hemoroid ile ilgili semptomları incelemek ve gebelikte hemoroid varlığı ile çeşitli antropometrik ve muskuloskeletal parametreler arasındaki ilişkiyi araştırmaktı. Metod: Bu retrospektif kesitsel çalışmaya gebelik öncesi herhangi bir anorektal problemi olmayan, 3 farklı trimesterdaki (1. Trimester, 11-15 hafta, 2. Trimester, 16-23 hafta, 3. Trimester, 24-40 hafta) gebeler dahil edildi. Gebelikte hemoroid ve diğer anorektal semptomların varlığı self-reported olarak var/yok şeklinde değerlendirildi. Bulgular: Çalışmaya 268 gebe (92, 1. trimester; 107, 2. trimester; 69, 3. trimester). Tüm çalışma örnekleminde bel çevre ölçümü (p= 0,042; OR = 1,13; % 95 CI 1,07–1,92), bi-iliak genişlik (p= 0,036; OR = 1,17; % 95 CI 1,09–1,38), rectus abdominis kas kuvveti (p= 0,006; OR = 0,45; % 95 CI 0,04–0,58), umbilikus seviyesinden ölçülen diastazis rekti abdominis (DRA) miktarı (p= 0,023; OR = 1,38; % 95 CI 1,14–1,83), hipermobilite skoru (p= 0,006; OR = 3,34; % 95 CI 1.98–7,94) ve doğum sayısı (p= 0,032; OR = 2,47; % 95 CI 1,85–7,19) hemoroid gelişiminde önemli risk faktörleri olarak bulundu. Sonuç: Bu çalışma, hemoroid ve hemoroid ile ilişkili semptomları değerlendiren ve hemoroid ile ilişkili risk faktörlerini uygun örneklem genişliği ile kapsamlı olarak değerlendiren tek çalışmadır. Aynı zamanda gebelikte, bel çevre ölçümünün, bi-iliak genişliğin, umblikus seviyesinden ölçülen DRA miktarının ve hipermobilite skorunun artmasının ve rektus abdominis kas kuvvetinin azalmasının hemoroid açısından risk faktörü olduğu ilk kez bu çalışma ile ortaya konulmuştur.

Anahtar Kelimeler

• Gebelik
• hemoroid
• antropometrik ölçümler

CORRELATION BETWEEN VARIOUS ANTHROPOMETRIC AND MUSCULOSKELETAL MEASUREMENTS AND HEMORRHOIDS IN PREGNANCY

Abstract

Purpose: The aim of this study was to determine the presence of hemorrhoids in pregnancy and symptoms related to hemorrhoids and to evaluate the relationship between hemorrhoids in pregnancy and various anthropometric and musculoskeletal parameters. Methods: The retrospective cross-sectional study included pregnant women in 3 different trimesters (1st, 11-15 weeks; 2nd, 16-23 weeks; 3rd, 24-40 weeks) without any anorectal problems before pregnancy. The presence of hemorrhoids and other anorectal symptoms during pregnancy was evaluated with yes/no questions on self-reported scales. Results: Evaluation was made of 268 pregnant women (92, 1st Trimester; 107, 2nd Trimester; 69, 3rd trimester). In the whole study sample, waist circumference measurement (p = 0.042; OR = 1.13; 95% CI 1.07–1.92), bi-iliac width (p = 0.036; OR = 1.17; 95% CI 1.09–1.38), rectus abdominis muscle strength (p = 0.006; OR = 0.45; 95% CI 0.04–0.58), Diastasis-recti-abdominis grade measured from umbilicus level (p = 0.023; OR = 1.38; 95% CI 1.14–1.83), hypermobility score (p = 0.006; OR = 3.34; 95% CI 1.98–7.94) and parity (p = 0.032; OR = 2.47; 95% CI 1.85–7.19) were found to be important risk factors for the presence of hemorrhoids in pregnancy. Conclusion: This is the first study to have evaluated hemorrhoids and hemorrhoid-related symptoms and to examine the associated risk factors comprehensively. It was also demonstrated for the first time that waist circumference measurement, bi-iliac width, increased grade of Diastasis-recti-abdominis measured at umbilicus level, hypermobility score, and decreased rectus abdominis muscle strength were risk factors for hemorrhoids in pregnancy.

Keywords

• Pregnancy
• hemorrhoids
• anthropometric measurements

Kaynakça

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