Three Cases of Separation of Symphysis Pubis During Vaginal Delivery.
- Author:
Eun Sung OH
1
;
Jae Hag SIM
;
Cheol Won SEO
;
Jae Cheol PARK
;
Kang Woo JUNG
;
Yong Pil KIM
Author Information
1. Department of Obstetrics and Gynecology, Pohang Saint Mary's Hospital, Pohang, Korea. silver7641@hanmail.net
- Publication Type:Case Report
- Keywords:
Separation of symphysis pubis
- MeSH:
Analgesics;
Bed Rest;
Diagnosis;
Head;
Incidence;
Ligaments;
Progesterone;
Prognosis;
Relaxin
- From:Korean Journal of Perinatology
2005;16(4):347-350
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Separation of symphysis pubis during vaginal delivery is rare condition with incidence ranging from 1/500 to 1/30000 deliveries. The injury is caused by fetal head exerting pressure on pelvic ligaments that have been relaxed by progesterone and relaxin. The separation might be associated with considerable pain, swelling and tenderness over the pubic area. Diagnosis is based on clinical findings and X-ray findings. The condition is treated conservatively with bed rest, analgesics and physical therapy. Prognosis is exellent. We experienced 3cases of separation of symphysis pubis during vaginal delivery and report these cases with a brief review of literature.
