• JNMA J Nepal Med Assoc · Dec 2023

    Case Reports

    Postpartum Symphysis Pubis Diastasis: A Case Report.

    • Babita Chaudhary, Sumit Bidari, Sujata Maharjan, Gauri Adhikari, and Lokendra Bata.
    • Department of Obstetrics and Gynaecology, Nepalese Army Institute of Health Sciences, Syanobharyang, Kathmandu, Nepal.
    • JNMA J Nepal Med Assoc. 2023 Dec 1; 61 (268): 953955953-955.

    UnlabelledThe 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.Keywordscase reports; pelvic pain; pubic symphysis diastasis.

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