Peripartum Diastasis of the Symphysis Pubis

Peripartum pubic symphysis separation – Current strategies in diagnosis and therapy and presentation of two cases

“…The conservative treatment included bed rest and gradual mobilisation. They suggested surgery in cases of a separation more than 25 mm required [46]. In cases of continuing pregnancy, therapy is similar.…”

Is x‐ray compulsory in pubic symphysis diastasis diagnosis?

“…The reported incidence of pubic symphysis diastasis varies widely in the literature, from 1 in 300 to 1 in 30 000 deliveries (2,3). Generally, it is a rare complication and for this reason it is very difficult to perform randomized controlled trials to compare different diagnostic tools.…”

Diastasis of the pubic symphysis following vaginal delivery

“…Diastasis of the pubic symphysis following vaginal delivery has been reported to occur during 1 in 300–30 000 deliveries . The present study describes two patients who presented at the Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India, between July 2014 and December 2015 immediately postpartum after instrumental vaginal delivery.…”

“…Minimal physiologic separation of the pubic symphysis occurs during pregnancy and delivery; predisposing factors include macrosomia, rapid progression and descent in the second stage of labor, and prolonged forced abduction of thighs or increased traction force during forceps delivery . Diagnosis is based on clinical findings of a palpable gap in the symphysis region, and grating and pain on bilateral trochanteric compression.…”