Symphysis Pubis Diastasis Following Difficult Vaginal Delivery
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 10
Abstract
Abstract: Symphysis pubis diastasis is development of a gap of more than 10 mm between the two pubic bones. The reported incidence varies from 1 in 300 to 1 in 30,000 deliveries .Mild separation (up to 5 mm) of the symphysis pubis during pregnancy is considered physiological. Separation of more than 10 mm is usually associated with tenderness and difficulty with walking, and is thought to be pathological. Factors contributing to rupture of the symphysis pubis joint during vaginal delivery are poorly defined. It is thought to be caused by the fetal head exerting pressure on the pelvic ligaments, which have been weakened or relaxed by the hormones progesterone and relaxin. It can occur more commonly, if manual pressure is applied to the pelvis in a latero-lateral and antero-posterior direction. The McRobertsmanoeuvre, which is generally safe, may result in pubic symphysis diastasis .A case of traumatic postpartum haemorrhage(PPH) with gross pubic bone diastasis is reported ,who presented in an emergency as traumatic PPH and severe soft tissue trauma to lower genital tract and pubic symphysis. Patient recovered completely without any residual morbidity following surgical fixation of joint. Keywords:Symphysis pubis diastasis, Complications of second stage of labour
Authors and Affiliations
Amrale Prachi, Bangal Vidyadhar
Keywords
Related Articles
- EP ID EP372137
- DOI -
- Views 58
- Downloads 0
Seroprevalence of Hepatitis B Surface Antigen among Rural Pregnant Women Attending a Tertiary Care Hospital
Abstract: Hepatitis B virus infection (HBV) is one of the most important community health problems and also one of the most common infectious diseases in the world. The prevalence of chronic Hepatitis B infection varies...
Evaluation of serum lipid profile in Sudanese patient with thyroid dysfunction
Abstract: The objective of this study was to evaluate the effect of thyroid dysfunction on serum lipid profile in Sudanese population. Blood samples were collected from 60subjects (51 women – 9men) in the age average fro...
Morphometric and Histopathological Study of Gastric Epithelial Lesions with special reference to proliferative activity
Abstract: Disorders of the gastric epithelium are frequent cause of clinical disease with inflammatory and neoplastic lesions being particularly common. Adenocarcinoma is the commonest gastric malig...
Incidence of Hypertension and Risk Factor Assessment among Sedentary and Labour Population of Punjab
Abstract: The present study was undertaken to determine the incidence and intensity of hypertension in sedentary and labour population of Punjab. 1000 subjects were studied and they were divided into two groups i.e. grou...
The determinants of Choice of Health Facility in Sagamu, South-West, Nigeria
The choice of a healthcare facility is not as straightforward as it usually seems. The assumption is that patients want high-quality care at the cheapest rates and choose centres that best fit their needs and preferences...