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Muscles of the Pelvic Floor and Perineum01:26

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The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
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Intrapartum Pubic Symphysis Disruption.

Res Pires1, P J Labronici2, V Giordano3

  • 1Federal University of Minas Gerais, Hospital Risoleta Tolentino Neves, Belo Horizonte, MG, Brazil.

Annals of Medical and Health Sciences Research
|April 9, 2016
PubMed
Summary

Symptomatic pelvic girdle relaxation during pregnancy can lead to pubic symphysis disruption. Surgical repair offers a good recovery, reducing pain and improving function after childbirth.

Keywords:
PelvisPelvis fracturePregnancyPubic symphysisPubic symphysis diastasis

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Area of Science:

  • Obstetrics and Gynecology
  • Orthopedic Surgery
  • Pelvic Health

Background:

  • Pregnancy involves hormonal changes (progesterone, relaxin) causing pelvic ligament laxity.
  • This relaxation aids vaginal delivery by widening the birth canal.
  • Symptomatic pelvic girdle relaxation can manifest as pain or instability during pregnancy or postpartum.

Observation:

  • Acute pubic symphysis disruption is a rare but severe childbirth complication.
  • It causes significant pain and functional limitations.
  • Early diagnosis is critical for optimal patient outcomes.

Findings:

  • This case study details a primiparous patient with acute symphyseal disruption post-childbirth.
  • The patient underwent open reduction and internal fixation using plate and screws.
  • A 6-month follow-up showed complete pain resolution and satisfactory functional recovery.

Implications:

  • Surgical intervention can effectively treat severe pubic symphysis disruption.
  • Prompt management improves clinical and functional outcomes for affected mothers.
  • Highlights the importance of recognizing and managing pelvic girdle injuries during labor.