Symphyseal distention in relation to serum relaxin levels and pelvic pain in pregnancy

Abstract

Severe pelvic pain during pregnancy was strongly associated with an increased symphyseal distention. However, the severity of pain did not predict the degree of symphyseal distention in the individual case, indicating that other mechanisms are also involved. Serum relaxin levels were not associated with the degree of symphyseal distention or with pelvic pain in pregnancy.

Peripartum pubic symphysis separation – Current strategies in diagnosis and therapy and presentation of two cases

“…The combination of thin soft tissue coverage and minimal distance from the transducer to the bone leads to very good picture quality [26]. Two Swedish studies have indicated that ultrasound offers a safe, simple, and cost-efficient method for evidence of symphyseal widening [13,27]. In addition, ultrasound offers a radiation-free option for meaningful control studies over follow-up [28].…”

“…The release of relaxin does not correlate with the grade of symphysis widening [13]. However, poor regulation of relaxin is still considered a possible cause for a persistent postpartum symphysis widening [14].…”

Rachis lombaire et grossesse

“…La survenue de lombalgies intriquées à des douleurs pelviennes postérieures semble fréquente, peut-être liée au nombre de grossesses (21 % chez des primipares et 31 % chez des multipares) [21] et associée à des pubalgies comme dans la série de Bjorklund (Tableau 1) [1,22]. Contrairement aux lombalgies, les douleurs postérieures et fessières apparaissent plus précocement et augmentent tout au long de la grossesse [22,23].…”

“…Contrairement aux lombalgies, les douleurs postérieures et fessières apparaissent plus précocement et augmentent tout au long de la grossesse [22,23].…”

“…Alors qu'une diminution d'intensité des lombalgies a été observée pendant le dernier mois, plus le niveau de douleur était élevé pendant celui-ci, plus le risque de conserver des douleurs à six ans était élevé [22].…”