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

Herren, Christian; Sobottke, Rolf; Dadgar, Azad; Ringe, M.J.; Graf, Matthias J.; Keller, Katharina; Eysel, Peer; Mallmann, Peter; Siewe, Jan

doi:10.1016/j.injury.2015.02.030

Cited by 45 publications

(56 citation statements)

References 37 publications

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“…Literatürde, SPD'nin tedavisinde optimal yaklaşım ile ilgili farklı öneriler vardır. 2 Genel yaklaşım konservatiftir. Soğuk uygulama ve analjezikler ile ağrı kontrolü, yan pozisyonda yatak istirahati, pelvik destek ve kademeli egzersiz önerilir.…”

Section: Postpartum Simfizis Pubis Diyastazıunclassified

“…Gerekirse pelvik fiksatörler kullanılabilir. 2,8 Nonsteroid antiinflamatuar ilaç (NSAİİ)'lar ve opiyatlar ile azalmayan ağrıda intrasimfizisyal aralığa kortikosteroid ya da lidokain enjeksiyonu yapılabilir. Yirmi beş mm'nin üzerindeki diyastaz durumunda cerrahi müdahale gerekebilir.…”

Section: Postpartum Simfizis Pubis Diyastazıunclassified

“…Ayırıcı tanıda; pelvik kemiklerde fraktür, sinir basısı, femoral ven trombozu, üriner sistem enfeksiyonları, round ligament ağrısı, pelvik inflamatuar hastalık ve iskelet-kas sistemi hastalıkları yer alır. 2,5 Nadir görülen bir durum olan SPD, genel olarak multiparlarda görülür ve zor doğum ile ilişkilidir.…”

Section: Olgu Sunumuunclassified

“…MRG yumuşak doku yaralanmalarının, subkondral alandaki inflamasyonun ve kemik iliğinin değerlendirilmesinde diğer görüntüleme yöntemlerine göre oldukça avantajlıdır. 2,9 Postpartum pelvik halkadaki değişiklikleri inceleyen pek çok çalışmada MRG kullanılmştır. Araştırmacılar, daha az radyasyona maruziyet, değişik planlardan dokunun incelenebilir olması ve yumuşak dokuyu daha iyi değerlendirebildikleri için MRG kullanmayı tercih ettiklerini belirtmişlerdir.…”

Section: Olgu Sunumuunclassified

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Postpartum Symphysis Pubis Diastasis

Karaman¹,

Aksoy²

2020

Turkiye Klinikleri J Med Sci

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Section: Postpartum Simfizis Pubis Diyastazıunclassified

Section: Olgu Sunumuunclassified

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Postpartum Symphysis Pubis Diastasis

Karaman¹,

Aksoy²

2020

Turkiye Klinikleri J Med Sci

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“…Three studies have identified prevalence rates of 17%, 22.1%, and 24.6% in pregnant women in America, Australia, and Mediterranean countries, respectively. Although some women experience sciatica relief after giving birth, others suffer an escalation of preexisting pain or begin to experience symptoms for the first time during the postpartum period, which might be the result of weight gain, injuries to the coccyx during the birth process, or a postpartum emotional condition . While there are no exact data on the prevalence of sciatica in postpartum women, this painful postpartum condition is not uncommon in clinical practice …”

Section: Introductionmentioning

confidence: 99%

Preliminary Clinical Evaluation of Acupuncture Therapy in Patients With Postpartum Sciatica

He¹,

Li²,

Gui³

2018

J Midwife Womens Health

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Bioarchaeological investigation of an obstetric death at Huigou site (3900–2900 BC), Henan, China

Zhou

Garvie‐Lok

et al. 2019

Intl J of Osteoarchaeology

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Historical documents record that many young women died of pregnancy, delivery, or related complications. However, such cases are rare archaeologically due to the limitations of archaeological materials. Here, we report the case of an adult female buried with an infant in the Neolithic graveyard of Huigou (Yangshao Culture, 3900–2900 BCE) in China's Henan Province. The remains of the infant were positioned between the lower legs of the adult. Both appear to have died during or shortly after delivery, as the estimated age of the infant is full term. The adult female's pubic symphysis was unusually long compared with a modern Chinese reference sample, a trait that increases the risk of dystocia in modern clinical cases. The pelvis also shows a hyperplastic lesion on the superior margin of the pubic symphysis that might reflect a prior difficult birth that was survived. Taken together this evidence suggests a history of obstetric problems that ultimately led to the death of the woman and her last child. Our reconstruction offers a glimpse of an ancient life, suggesting the difficulties this woman suffered in childbirth before her death and illustrating the insights that osteology can offer into obstetric experiences in the past.

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

Cited by 45 publications

References 37 publications

Postpartum Symphysis Pubis Diastasis

Postpartum Symphysis Pubis Diastasis

Preliminary Clinical Evaluation of Acupuncture Therapy in Patients With Postpartum Sciatica

Bioarchaeological investigation of an obstetric death at Huigou site (3900–2900 BC), Henan, China

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