Background: Hemorrhoids (also known as ‘piles’) are swollen varicose veins located
around the anus. Hemorrhoids are a common condition in pregnancy. The main reported
symptoms caused by hemorrhoids are burning, itching, perianal pain, and bleeding Aim:
The study aimed to assess the effect of nursing guidelines on hemorrhoids symptoms
among pregnant women. Design: A Quasi experimental design was used for conducting
the study. Setting: The study was conducted in the obstetrics and gynecology antenatal
outpatient clinic at Benha University Hospital. Sample: A purposive sample of 120
pregnant women divided to 2 equal groups study group and control group were selected
according to inclusion criteria. Tools: two tools were utilized for data collection 1) A
structured interviewing questionnaire 2) The Colorectal Evaluation of Clinical
Therapeutics Scale. Results of this study showed that knowledge and healthy practices
there was insignificant relation between study and control groups pre intervention
guidelines while high statistically significant relation between both groups post
intervention guidelines, also high statistically significant correlation between knowledge
and healthy practice with severity of hemorrhoidal symptoms post intervention in both
groups. Conclusion: significant improvement knowledge, healthy practice, and
significant improvement of severity hemorrhoids symptoms post intervention guidelines.
Recommendations: health education program regarding general heathy practice during
pregnancy and dietary education program during antenatal visits. Replication of the
current study on a large representative sample to achieve generalization of the results.