Publication: Postpartum Symphysis Pubis Diastasis: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
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.
Description
Babita Chaudhary
Department of Obstetrics and Gynaecology, Nepal Army Institute of Health Sciences, Syanobharyang, Kathmandu, Nepal
Sumit Bidari
Department of Obstetrics and Gynaecology, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal
Sujata Maharjan
Department of Obstetrics and Gynaecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Gauri Adhikari
Department of Internal Medicine, Nidan Hospital Limited, Pulchowk, Lalitpur, Nepal
Lokendra Bata
Department of Obstetrics and Gynaecology, Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal