How to deal with perianal abscess in pregnant women

Pregnant women with perianal abscesses should seek medical attention as soon as possible and seek professional diagnosis and treatment, because failure to promptly treat the condition may cause the spread of infection and endanger the health of mother and baby. The special physiological state of pregnancy determines that the treatment plan must control infection and protect the safety of the fetus.

Perianal abscess is a bacterial infection of the tissues around the rectum. Common causes include decreased local immunity, anal fissures caused by constipation, the spread of infection from anal gland inflammation, and venous congestion caused by hormone fluctuations during pregnancy. The abscess will be red, swollen, hot and painful locally. In severe cases, it may be accompanied by systemic reactions such as fever and difficulty in defecation. Diagnosis is usually made through clinical examination, and B-ultrasound is used to clarify the scope of the abscess when necessary. Treatment is centered on drainage. In pregnant women, it is recommended to choose a small surgery under local anesthesia. Surgical methods include traditional incision and drainage, hanging thread therapy, and minimally invasive treatments such as puncture catheter drainage. The perineum needs to be kept clean after surgery. Doctors generally choose safe antibiotics such as penicillins or cephalosporins to control infection and avoid affecting fetal development based on gestational age and the severity of symptoms.

Pregnant women should pay attention to a high-fiber, low-fat diet to prevent constipation, such as eating more whole grains, green leafy vegetables, oats and fruits rich in dietary fiber, and increasing water intake. Avoid sitting or standing for long periods of time, and take a moderate walk to promote blood circulation and reduce venous pressure. Pay attention to cleaning the perianal area, and use warm water for a sitz bath to improve local blood circulation and relieve symptoms. If perianal swelling and pain occur, avoid delaying the condition and seek medical attention in time. Instead of worrying about the discomfort caused by the disease, it is better to take the initiative in health management during pregnancy, which is not only for yourself, but also a peace of mind for your baby.