Document Detail

Rupture of the symphysis pubis during vaginal delivery followed by two subsequent uneventful pregnancies.
MedLine Citation:
PMID:  12423827     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Rupture of the symphysis pubis during vaginal delivery is a rare but debilitating complication. Factors contributing to rupture are poorly defined. CASE: A healthy primigravida suffered a rupture of her symphysis pubis during an otherwise uncomplicated vaginal delivery. She experienced significant pain and difficulty walking for 6 months after the injury. Her 5-cm symphyseal separation was managed successfully with physical therapy and activity restriction. The patient's two subsequent deliveries (one vaginal and one via cesarean delivery) were uneventful. CONCLUSION: Severe symphyseal rupture during vaginal delivery can be managed without surgery. Risk factors for rupture are not well defined. Based on a literature review, there is a significant risk of repeat symphyseal rupture with subsequent vaginal delivery.
Patrick Culligan; Stephanie Hill; Michael Heit
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  100     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-08     Completed Date:  2002-11-27     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1114-7     Citation Subset:  AIM; IM    
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Louisville Health Sciences Center, Louisville, Kentucky 40202, USA.
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MeSH Terms
Cesarean Section
Delivery, Obstetric / adverse effects*
Dystocia / therapy*
Physical Therapy Modalities
Pregnancy Outcome
Pubic Symphysis / injuries*

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