Korean J Perinatol.  2005 Dec;16(4):347-350.

Three Cases of Separation of Symphysis Pubis During Vaginal Delivery

• Oh ES
• Sim JH
• Seo CW
• Park JC
• Jung KW
• Kim YP

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.

Keyword

Separation of symphysis pubis

MeSH Terms

Analgesics
Bed Rest
Diagnosis
Head
Incidence
Ligaments
Progesterone
Prognosis
Relaxin
Analgesics
Progesterone
Relaxin