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Pubic Symphysis Rupture During the Second Stage of Labor: A Case Report

Alexander M Harrison1,2, Olivia F Zucaro1, Jacob Speybroeck3

  • 1Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, USA.

Cureus
|March 23, 2026
PubMed

A multiparous woman underwent induction of labor and progressed to the second stage. During the second stage, an audible "pop" was heard. She developed significant pain and edema. Through a multidisciplinary approach, the patient was diagnosed with a pubic symphysis rupture. Imaging demonstrated a separation of the pubic symphysis of 8.5 cm. By the end of the multidisciplinary care, this distance had been reduced to 3 cm, and the patient was back to baseline function following treatment. This case demonstrates and encourages the use of a multidisciplinary team including radiology, trauma, orthopedics, and obstetrics. A high level of suspicion and effective interdisciplinary communication can result in optimal outcomes for this rare complication, as is seen in this patient.

Keywords:
orthopedicsperipartum complicationpregnancypubic symphysispubic symphysis rupture

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