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Related Experiment Videos

Symphyseal separation.

Neeta Jain1, Lawrence B Sternberg

  • 1University of Rochester School of Medicine and Dentistry, Rochester, New York 14607, USA. Neeta.Jain@stanfordalumni.org

Obstetrics and Gynecology
|May 3, 2005
PubMed
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Pubic symphysis separation up to 1 cm is common in pregnancy. A rare case of significant pubic diastasis (9.5 cm) was successfully managed with conservative treatment and physical therapy.

Area of Science:

  • Obstetrics and Gynecology
  • Orthopedics
  • Pelvic Health

Background:

  • Pubic symphysis separation (diastasis pubis) is a common occurrence during pregnancy and childbirth, typically resolving spontaneously.
  • While minor separations are considered normal physiological changes, significant diastasis can lead to complications.

Observation:

  • A 35-year-old primipara presented with severe hip and groin pain post-delivery.
  • Pelvic X-rays revealed a substantial pubic symphysis separation of 9.5 cm and sacroiliac joint widening (3-5 mm).

Findings:

  • The patient's significant pubic diastasis was diagnosed following delivery.
  • Conservative management, including a pelvic binder, walker use, and physical therapy, led to progressive reduction of the separation.

Related Experiment Videos

Implications:

  • Large pubic symphysis separations are potential obstetric complications requiring prompt diagnosis and management.
  • Conservative treatment strategies are effective for managing significant pubic diastasis, promoting recovery and reducing pain.