Postpartum Symphysis Pubis Diastasis: A Case Report

JNMA J Nepal Med Assoc. 2023 Dec 1;61(268):953-955. doi: 10.31729/jnma.8375.

Abstract

The pubic symphysis is a midline, non-synovial joint connecting the right and left superior pubic rami. The joint allows very limited movement of approximately 0.5-1 mm. Under hormonal stimulation during pregnancy, the widening of the symphysis pubis and sacroiliac joints occurs. Pubic symphysis diastasis is defined as the widening of the pubic joint of >10 mm. It is a rare complication of vaginal childbirth for which no gold standard treatment has been defined. Most cases are treated conservatively. A case of pubic diastasis in a 24-year-old G5P2A2L1 following vaginal delivery is reported. Management consisted of simple conservative treatment, which was sufficient in achieving symptomatic relief.

Keywords: case reports; pelvic pain; pubic symphysis diastasis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Conservative Treatment
  • Delivery, Obstetric
  • Female
  • Humans
  • Postpartum Period
  • Pregnancy
  • Pubic Symphysis Diastasis* / diagnosis
  • Pubic Symphysis Diastasis* / etiology
  • Pubic Symphysis*
  • Young Adult