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14 - Symphysis pubis diastasis after difficult birth: a case report
Mesut Mehmet Sönmez, Meriç Uğurlar, Özge Yapıcı Uğurlar, Ayşe Keleş, Osman Tuğrul Eren
Objective: Symphysis pubis diastasis is an uncommon peripartum complication that might result in a serious distress to the patient. With pregnancy, the gap increases by at least 2 to 3 mm, which is thought to be caused by the slackness of ligaments supporting the joint. The diagnosis of diastasis is based on the persistence of symptoms and a symphysis pubis separation of more than 10 to 13 mm on imaging.
Case report: We report a 34-year-old multigravida woman with gestational diabetes at nearly 40 weeks of gestation and is presented with a spontaneous onset of pelvic pain, difficulty in walking after a shoulder distosi labor and diagnosed symphysis pubis diastasis.
Conclusion: After child birth if there is increasing pain with hip movement and pain causing prolonged immobilization, symphysis pubis diastase should be suspected and further investigation is recommended.
Keywords: Symphysis pubis, diastasis, pelvic pain, postpartum
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