Haemorrhoids in Pregnancy and Postpartum: What You Need to Know

November 6, 2025
Written by Hey Māmā

Let’s be real for a second: pregnancy and birth are amazing, but they’re also… intense. Among the less glamorous side effects? Haemorrhoids. If you’ve experienced that telltale itch, sting, or swelling down there, you’re definitely not alone. In fact, piles are super common during pregnancy and after birth, especially here in Aotearoa.

This article breaks down what haemorrhoids are, how they affect pregnant and postpartum people in New Zealand, and most importantly how to manage them safely and effectively.

What are haemorrhoids (and why do they show up during pregnancy)?

Haemorrhoids are swollen veins in or around the anus and rectum. They can cause itching, pain, bleeding, and discomfort – especially when you go to the toilet. During pregnancy, your growing baby adds pressure to your lower body, slowing down blood flow and digestion. Combine that with hormone changes and the effort of pushing during birth, and it’s no surprise that haemorrhoids often pop up in the third trimester or shortly after giving birth. Health NZ explains it simply here.

How common are they in pregnancy and postpartum?

Short answer: very.

While we don’t have exact numbers for Aotearoa, global studies show up to 40% of pregnant people develop haemorrhoids, and they often continue into the postpartum period. One study found 43% of women still had them after birth. So, if you’re dealing with this now… you’re in good company.

Natural and at-home care that actually works

In New Zealand, the first advice from midwives and GPs is usually conservative care. That means focusing on gentle, natural ways to ease the pressure:

Eat for easy poos: High-fibre foods like fruit, veges, oats, legumes and whole grains help keep things soft and regular. Aim for 25–30g of fibre daily.
Hydrate like a hero: Drink plenty of water (about 8+ cups a day). It helps your digestive system flow smoothly.
Don’t wait when you need to go: Holding it in can make poos harder and worsen haemorrhoids.
Avoid straining: Sit relaxed on the toilet, feet up on a stool if needed. No pushing marathons.
Witch hazel: This natural astringent is a favourite among new mums. Dab it on with a cotton pad or use pre-soaked wipes.
Warm and cold therapy: Alternate warm sitz baths (10–15 minutes) and cold compresses to ease swelling.
Padsicles: Freeze maternity pads with witch hazel and aloe for postpartum relief. Trust us… life-changing.

You can also try over-the-counter creams like Anusol for relief (but check with your midwife or pharmacist if you’re pregnant or breastfeeding).

When to talk to your GP or midwife

Most haemorrhoids clear up on their own, but it’s important to know when to get help:

You have bright red bleeding or aren’t sure what’s causing it
The pain or swelling isn’t improving after a week or two
You feel a lump that’s very painful or won’t go back in
There’s yellow discharge, fever, or signs of infection

Your midwife or GP can suggest prescription creams or refer you to a specialist if things aren’t improving. In rare cases, minor procedures or surgery might be needed… but usually after baby is born.

What NZ health providers recommend

Local health boards and the College of Midwives back up everything above: start with food, fluids, fibre and comfort care. If you’re struggling, they’re there to help… this is a super common part of pregnancy and birth.

And don’t be afraid to speak up. Whether you’re 38 weeks pregnant or chasing a newborn, you deserve to be comfortable and cared for.

You’re not alone!

Haemorrhoids aren’t fun, but they’re also nothing to be ashamed of. With the right care, most will clear up within days or weeks. Until then, grab a padsicle, chat to your midwife, and remember: you’re doing an incredible job.

Sources

Disclaimer: This blog is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your GP, midwife or other qualified health provider with any questions you may have regarding a medical condition.

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