Symphyseal separation.
BACKGROUND
Separation of the pubic symphysis up to 1 cm during pregnancy and delivery occurs frequently. This report presents a woman who experienced a large symphyseal separation.


METHODS
Following delivery, a 35-year-old primipara complained of hip and groin pain associated with leg movement. An anterior-posterior pelvic X-ray showed a pubic separation of 9.5 cm and a 3-5 mm widening of the sacroiliac joints. She was treated with a pelvic binder, walker, and physical therapy. The diastasis has since undergone progressive reduction.


CONCLUSIONS
Separation of the pubic symphysis during pregnancy and delivery is normal. However, a large separation is a potential complication requiring treatment and follow-up. Conservative management including analgesia, rest, and a pelvic binder is a reasonable method of management.
Jain
Neeta
N
University of Rochester School of Medicine and Dentistry, Rochester, New York 14607, USA. Neeta.Jain@stanfordalumni.org
Sternberg
Lawrence B
LB
D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007103:Immobilization; D007744:Obstetric Labor Complications / Q000000981:diagnostic imaging* / Q000628:therapy; D009989:Orthotic Devices; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000628:therapy; D011263:Pregnancy Trimester, Third; D011631:Pubic Symphysis / Q000000981:diagnostic imaging* / Q000503:physiopathology*; D011859:Radiography; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
D000700:Analgesics