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Post-partum Symphysis Pubis diastasis

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creativeworkseries.issn1999-6217
dc.contributor.authorRai, Sangam
dc.contributor.authorPradhan, Peru
dc.contributor.authorDangal, Ganesh
dc.contributor.authorShrestha, Sona
dc.contributor.authorRajbhandari, Subrina
dc.contributor.authorYadav, Ranjana
dc.contributor.authorShah, Ranjana
dc.contributor.authorSherpa, Sona
dc.contributor.authorAnsari, Rawab
dc.date.accessioned2025-07-18T08:47:09Z
dc.date.available2025-07-18T08:47:09Z
dc.date.issued2024
dc.descriptionSangam Rai Department of Obstetrics and Gynecology, Kirtipur Hospital, Kathmandu, Nepal Peru Pradhan Department of Obstetrics and Gynecology, Kirtipur Hospital, Kathmandu, Nepal Ganesh Dangal Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal Sona Shrestha Department of Obstetrics and Gynecology, Kirtipur Hospital, Kathmandu, Nepal Subrina Rajbhandari Department of Obstetrics and Gynecology, Kirtipur Hospital, Kathmandu, Nepal Ranjana Yadav Department of Obstetrics and Gynecology, Kirtipur Hospital, Kathmandu, Nepal Ranjana Shah Department of Obstetrics and Gynecology, Kirtipur Hospital, Kathmandu, Nepal Sona Sherpa Department of Obstetrics and Gynecology, Kirtipur Hospital, Kathmandu, Nepal Rawab Ansari Department of Obstetrics and Gynecology, Kirtipur Hospital, Kathmandu, Nepal
dc.description.abstractPubic symphysis is a non-synovial joint, made up of a fibrous cartilage disc connecting the two sides of pubic rami in the midline. During pregnancy under the influence of hormones particularly relaxin, the gap increases by 2 to3mm. When the diameter is more than 10 mm, it is considered as pubic symphysis diastasis. Pregnancy and childbirth are the most common causes of pubic symphysis diastasis followed by traumatic causes. Women with post-partum symphysis diastasis present during puerperium with inability to bear weight owing to severe supra-pubic and groin pain. They have complaint of severe excruciating pain while standing up or to perform any movement involving hip abduction. For the diagnosis, proper history regarding delivery should be sought followed by physical examination and radiological imaging. Most cases can be treated with conservative management which includes- use of analgesia and anti-inflammatory medicines for the pain management and stabilization of pelvis using brace/pelvic belt. Some may benefit from physiotherapy. In extreme cases, operative fixation may be required with the involvement of orthopedic surgeon. Keywords: post-partum symphysis diastasis; pubic symphysis; rare presentation.
dc.identifierhttps://doi.org/10.33314/jnhrc.v22i02.5100
dc.identifier.urihttps://hdl.handle.net/20.500.14572/386
dc.language.isoen_US
dc.publisherNepal Health Research Council
dc.titlePost-partum Symphysis Pubis diastasis
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage463
oaire.citation.startPage461
relation.isJournalIssueOfPublicatione2d42a19-cf81-48dd-bb3c-195f14182d84
relation.isJournalIssueOfPublication.latestForDiscoverye2d42a19-cf81-48dd-bb3c-195f14182d84
relation.isJournalOfPublication40bd2739-8b19-447c-be60-723a1bdd1dcd

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