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Postpartum Pubic Symphysis Diastasis: A Case Report
Nicole Vilar1, Danielle Donahue1, Harshita Nadella1
1Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, USA.
Cureus
|May 6, 2024
Summary
Postpartum pubic symphysis diastasis (PSD) can cause severe pelvic pain and mobility issues in new mothers. This case highlights conservative management strategies and the importance of ongoing assessment for postpartum recovery.
Area of Science:
- Obstetrics and Gynecology
- Musculoskeletal Disorders
- Pain Management
Background:
- A 25-year-old G1P0 African American female with a history of brain arteriovenous malformation repair, pneumonia, and UTI presented for spontaneous vaginal delivery at 39 weeks.
- The patient experienced severe pelvic pain and ambulation difficulties in the immediate postpartum period.
Observation:
- Initial conservative management with oral analgesics was insufficient, leading to a diagnosis of postpartum pubic symphysis diastasis (PSD).
- Despite a steroid injection, persistent pain led to readmission with severe pain and inability to walk.
- Management with IV narcotics and NSAIDs provided pain relief, allowing for observation and discharge.
Findings:
- The patient showed improvement in gait and pain at a 5-day postpartum follow-up appointment.
- Despite lack of follow-up imaging, resolution of PSD symptoms was anticipated within 3-4 months.
Implications:
- This case underscores the potential severity of postpartum pubic symphysis diastasis and its impact on maternal mobility.
- It highlights the role of multimodal pain management, including conservative measures and pharmacological interventions, in addressing PSD.
- The case suggests that even severe symptoms may resolve with appropriate management and time, though further research on optimal follow-up is warranted.
