Published in:
01-12-2016 | Case Report
Rent in the Vent: A Rare Event
Parturition-Induced Rupture of Pubic Symphysis and Dislocation of Sacroiliac Joint After Spontaneous Vaginal Delivery
Authors:
Kiran S. Coelho, Hemant Shintre, Ashish Shyamkul, Bindu Rani
Published in:
The Journal of Obstetrics and Gynecology of India
|
Special Issue 2/2016
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Excerpt
Reported incidence of mild diastasis of the pubic symphysis (i.e. <10 mm) varies from 1 in 300 to 1 in 30,000 deliveries [
1]. It is considered to be physiological in pregnancy and is thought to be caused by the excess production of the hormone relaxin during pregnancy, and greater separation can lead to tenderness on palpation and disability to ambulate. Parturition-induced rupture of pubic symphysis (pubic symphysis separation >25 mm) is an uncommon event after vaginal delivery with great controversy about mode of treatment. Worldwide only around 150 cases are reported with pubic symphysis separation >40 mm and managed successfully. …