Document Detail

Vaginal delivery with intrapartum pubic symphysis separation. A case report.
MedLine Citation:
PMID:  12746997     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Pubic symphysis separation is an uncommon complication of pregnancy. It can occur during the antepartum, intrapartum and postpartum period. CASE: A 29-year-old woman, gravida 2, para 1, at 39 weeks' pregnancy, experienced regular labor pain and suprapubic pain for 3 hours. Her clinical presentation and physical examination led to the diagnosis of intrapartum pubic symphysis separation. Vaginal delivery was chosen because there was no cephalopelvic disproportion. The obstetric outcome was favorable, with a healthy female infant of 3,150 g. The patient underwent conservative management during the postpartum period. She was doing well at the 6-week follow-up. CONCLUSION: In the absence of obstetric indications for cesarean delivery, vaginal delivery can be achieved in cases of intrapartum pubic symphysis separation. Conservative management usually results in complete recovery.
Vorapong Phupong; Dennopporn Sudjai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  48     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-05-15     Completed Date:  2003-08-14     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  296-8     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand.
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MeSH Terms
Delivery, Obstetric / methods*
Follow-Up Studies
Obstetric Labor Complications / diagnosis*
Pregnancy Complications / physiopathology,  radiography*
Pregnancy Outcome*
Pregnancy Trimester, Third
Pubic Symphysis / physiopathology*
Risk Assessment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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