Post Partum Pubic Diastasis: A Case Report

Tripathi, Sanjay Kumar; Kumar, Shalesh; Agarwal, Nitin; Khan, A I; Jain, Pulkit; Nanda, Saurav Narayan

doi:10.21276/aimdr.2016.2.5.or4

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…однако необходимо отметить, что как основная, так и контрольная группы исследования включали лишь по одной пациентке. среди прочих адъювантных методов консервативного лечения Рлс упоминаются массаж, криотерапия и тепловые процедуры [50].…”

Section: Introductionunclassified

“…S.K. Tripathri с соавторами предлагают дополнять фиксацию серкляжным швом [50]. у пациентов с тяжелой нестабильностью или ожирением возможно сочетание передней и верхней пластины [20].…”

Section: Introductionunclassified

“…[24,31], сроки стационарного лечения составляют от 4 суток до 4 нед. [24,31,50,52], ходьба с частичной нагрузкой на ноги -через 5-14 дней [50,62], полная нагрузка на ноги, бег, прыжки, возможность занятия спортом восстанавливались через 6 мес. [31].…”

Section: Introductionunclassified

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Pubic Symphysis Diastasis in Pregnancy and Delivery (Review)

Petrushin¹,

Прялухина²

2018

Traumatology and Orthopedics of Russia

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Purpose of the study— to generalize and arrange the data published in scientific literature and to present currentviews on epidemiology, diagnostics and treatment options for pubic symphysis diastasis during pregnancy and delivery. Semeiotic separation wider than 10 mm is considered pubic symphysis diastasis during pregnancy and delivery. Diastasis above 14-25 mm might be associated with ruptures of sacroiliac joints. Frequency of such pathology is reported in the range from 0,03 to 2,8%. Key risk factors of this pathology include multiparity and repeated labor. Symptoms of pubic separation include pain and signs of pelvic instability manifesting immediately after delivery or within a short period of time after the delivery. AP roentgenography is the principal diagnostics method however lately ultrasound exam is done more frequently. Conservative option prevails in treatment of pubic symphysis diastasis. Surgical procedures are recommended in case of separation above 30-50 mm, ruptures of sacroiliac joints, open lesions, failed conservative treatment and urological dysfunction. In such cases preferred option is the internal fixation by plate and screws. Some authors use external fixation. Late-term outcomes of both methods do not demonstrate significant differences. Pain regress after the surgery is observed within 3 weeks to 6 months postoperatively, walking with partial load is restored in 5-14 days, full load on the lower limbs is possible 6 months postoperatively. Indications for removal of implants after internal fixation are not clearly defined. Following surgical treatment of pubic symphysis diastasis the majority of authors incline to subsequent operative delivery.

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Section: Introductionunclassified

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Pubic Symphysis Diastasis in Pregnancy and Delivery (Review)

Petrushin¹,

Прялухина²

2018

Traumatology and Orthopedics of Russia

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Dysfunction of the symphysis as one of the actual problems of modern obstetrics

Борщева

Перцева

Alekseeva

2021

Med. vestn. Ûga Ross.

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Objective: To analyze the factors of the course and outcome of pregnancy in women with pubic joint dysfunction (DLS).Materials and Methods: Th e authors performed a retrospective analysis of the course of pregnancy and the outcome of childbirth in women with pubic joint dysfunction (DLS) observed in 2016 – 2019. As a result, data on the clinical course of pregnancy and childbirth in 75 women with DLS were obtained. All women underwent routine clinical and biochemical examinations, ultrasound diagnostics (US), dopplerometry (DPM), and cardiotocography (CTG). Th e analysis of all the above parameters was carried out according to the data of birth histories for 2016-2018. Statistical processing of the obtained results was carried out using the programs Statistica 10 and Microsoft Excel 2013.Results: Clinical manifestations, as well as changes in ultrasound data, became the main factor in deciding on the method of delivery. All patients with second-degree DLS delivered by elective Caesarean section at 39 – 40 weeks of gestation. Women with the fi rst degree of DLS had a vaginal birth. Ultrasound examination in the postpartum period did not reveal an increase in the diastasis of the pubic joint in any woman. All the postpartum women had no complications during the postpartum period.Conclusion: DLS is a serious complication, which can lead to serious consequences in some cases in the postpartum period. It may require surgical treatment and subsequent long-term rehabilitation. For early diagnostics of DLS, it may be advisable to conduct a mandatory ultrasonic examination of the pubic joint, which is the “gold standard” for the diagnosis of this pathology, to all patients during screening ultrasonic examination.

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Post Partum Pubic Diastasis: A Case Report

Cited by 2 publications

References 2 publications

Pubic Symphysis Diastasis in Pregnancy and Delivery (Review)

Pubic Symphysis Diastasis in Pregnancy and Delivery (Review)

Dysfunction of the symphysis as one of the actual problems of modern obstetrics

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