Piles, also known as haemorrhoids, are swollen veins around the back passage which may itch, ache or feel sore. You can usually feel the lumpiness of the piles around the back passage. Piles may also bleed a little and they can make going to the toilet uncomfortable or even painful. They occur in pregnancy because the veins relax under the influence of pregnancy hormones. Piles usually go shortly after delivery. If you suffer from piles you should:

• Eat plenty of food that is high in fibre, like wholemeal bread, fruit and vegetables and you should drink plenty of water. This will prevent constipation, which can make piles worse.
• Take regular exercise to improve circulation.
• Avoid standing for long periods.
• Sleep with the foot of the bed slightly raised on books or bricks.
• Use an ice pack to ease discomfort. Hold this gently against the piles wrapped in a cloth to avoid ice burns or use a cloth wrung out in iced water.
• If the piles stick out, push them gently back inside using a lubricating jelly.
• Ask you doctor, midwife or pharmacist if they can suggest a suitable ointment.
• Consider giving birth in a position where the pressure on your back passage is reduced - kneeling for example.