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Transcript
pubic symphysis diastasis
A RARE yet serious condition commonly affecting females throughout pregnancy, childbirth or most commonly postpartum.
(Mandefu, 2021)
WHAT IS IT?
To prepare for a safe child birth your body produces a hormone throughout pregnancy named RELAXIN. This helps by expanding the birth canal by softening the cartilaginous joint and ligaments.
("Symphysis Pubis Dysfunction (SPD)—Symptoms and Treatment | Pampers", 2021)
Normally the pubic symphysis allows ~0.5-1mm of movement, though during pregnancy it can increase by 2-3mm (Norvilaite et al., 2020). Pubic symphysis diastasis (PSD) occurs when the pubic symphsis seperates more than 1cm.
what CAUSES IT?
WHAT TO EXPECT?
- Pubic joint or groin pain
- Inflammation
- Radiating pain into your abdominals and legs
- Difficulty weight bearing or lifting
- Traumatic child birth; rapid or prolonged contractions during labour, shoulder dystocia, etc
- Previous pregnancies
- Fetal macrosomia
- Narrow pelvic outlet
- Epidural route of anaesthesia
- Previous pelvic trauma
- Osteomalacia
- Chondromalacia
- Infections
(Harrison, 2021)
WHATS NEXT?
Surgery?
Conservative treament?
- Bed rest
- Analgesics (NSAIDS)
- Pelvic binder
If the pubis symphysis gap is over 4cm or is unresolved and worsened with conservative treatment referral to an orthopaeidic surgeon is required.
(Norvilaite et al., 2020)
Mandefu, R. (2021). Clip Art Drawing Avatar Smile Clip - Cartoon Baby Head Drawing , Free Transparent Clipart - ClipartKey. Retrieved 8 April 2021, from https://www.clipartkey.com/view/hwwobb_clip-art-drawing-avatar-smile-clip-cartoon-baby/Symphysis Pubis Dysfunction (SPD)—Symptoms and Treatment | Pampers. (2021). Retrieved 8 April 2021, from https://www.pampers.com/en-us/pregnancy/pregnancy-symptoms/article/symphysis-pubis-dysfunction Norvilaite, K., Kezeviciute, M., Ramasauskaite, D., Arlauskiene, A., Bartkeviciene, D., & Uvarovas, V. (2020). Postpartum pubic symphysis diastasis-conservative and surgical treatment methods, incidence of complications: Two case reports and a review of the literature. World Journal Of Clinical Cases, 8(1), 110-119. doi: 10.12998/wjcc.v8.i1.110 Harrison, K. (2021). Lightning Crotch Pain: What It Is and How to Treat It. Retrieved 8 April 2021, from https://undefiningmotherhood.com/lightning-crotch/