Symphysis Pubis Dysfunction

Fry, Deborah; Hay‐Smith, Jean; Hough, J; McIntosh, Jeanne; Polden, Margaret; Shepherd, Jancis; Watkins, Yvonne

doi:10.1016/s0031-9406(05)66110-x

Cited by 7 publications

(4 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is better to avoid keeping the woman beyond these predefined limits for long periods of time as it can worsen the dysfunction. Two attendants should move the woman's legs passively into and out of Lithotomy position, maintaining the position for the shortest duration possible 40 . One-to-one care in labour, adopting a comfortable position in labour will make the delivery experience more pleasant.…”

Section: Managementmentioning

confidence: 99%

Management of symphysial dysfunction in pregnancy and post-partum period: A review

Madugalle,

Jayasundara,

Gunasekara

2023

Sri Lanka J Obstet & Gynae

View full text Add to dashboard Cite

show abstract

Section: Managementmentioning

confidence: 99%

Management of symphysial dysfunction in pregnancy and post-partum period: A review

Madugalle,

Jayasundara,

Gunasekara

2023

Sri Lanka J Obstet & Gynae

View full text Add to dashboard Cite

show abstract

“…A waddling gait may result from a tendency of the gluteus medius to lose its abductor function, which is further exaggerated by the natural lumbar lordosis of pregnancy. Fry et al 13 explain how the clinician may be able to palpate the widening of the symphysis pubis but stress that the woman's own description of discomfort is sufficient to diagnose SPD; this opinion is also supported by Wellock Other tests shown to have high reproducibility include the pelvic girdle relaxation test for pain at the symphysis with the woman standing on one leg with the other hip flexed to 90º; and testing for unilateral or bilateral tenderness of the iliopsoas muscle, sacrotuberous ligaments and sacroiliac joints. 16 The differential diagnosis includes lumbago and sciatica, urinary tract infection, osteitis pubis and osteomyelitis.…”

Section: Diagnosismentioning

confidence: 99%

“…Lithotomy, if required, should only be used for a short period of time and both legs should be moved passively and simultaneously into and out of the position. 13 Otherwise, the midwife should encourage the woman to adopt any comfortable position (more often than not left or right lateral recumbent or kneeling, upright and supported). Use of epidural and spinal anaesthesia have been discouraged on account of masking SPD pain, although there is no evidence to support this view.…”

Section: Alternative Therapiesmentioning

confidence: 99%

Symphysis pubis dysfunction: a practical approach to management

Jain

Eedarapalli

Jamjute

et al. 2006

The Obstetrician &Amp; Gynaecologist

View full text Add to dashboard Cite

Symphysis pubis dysfunction is a relatively common and debilitating condition affecting pregnant women. It is painful and can have a significant impact on quality of life, which can lead to potentially serious complications such as depression. Effective management remains difficult to determine because of a variation in reported occurrence rates and symptomatology. There is little published assessment of treatments and no standardised management protocols are available. This article describes recent developments and discusses the controversies surrounding its treatment. With an improved knowledge of the condition and incorporation of the recommendations in this article it is hoped that healthcare professionals will be able to reduce the severity of the symptoms in those women affected.

show abstract

“…Rest and reduction of non-essential 'chores' is vital, as is keeping the legs adducted and avoiding single leg standing (Fry et al 1997).…”

Section: Treatmentmentioning

confidence: 99%