NepMed Repository :: Browsing by Author "Bata, Lokendra"

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Postpartum Symphysis Pubis Diastasis: A Case Report
(Nepal Medical Association, 2023) Chaudhary, Babita; Bidari, Sumit; Maharjan, Sujata; Adhikari, Gauri; Bata, Lokendra
Abstract The pubic symphysis is a midline, non-synovial joint connecting the right and left superior pubic rami. The joint allows very limited movement of approximately 0.5-1 mm. Under hormonal stimulation during pregnancy, the widening of the symphysis pubis and sacroiliac joints occurs. Pubic symphysis diastasis is defined as the widening of the pubic joint of >10 mm. It is a rare complication of vaginal childbirth for which no gold standard treatment has been defined. Most cases are treated conservatively. A case of pubic diastasis in a 24-year-old G5P2A2L1 following vaginal delivery is reported. Management consisted of simple conservative treatment, which was sufficient in achieving symptomatic relief.