+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Pubic Symphysis Rupture and Separation During Pregnancy

Pubic Symphysis Rupture and Separation During Pregnancy

Obstetrical and Gynecological Survey 70(11): 713-718

The aim of this study was to determine the risk factors, clinical and radiologic criteria for diagnosis, and management of this unusual complication of pregnancy. A PubMed and Web of Science search was undertaken with no limitations on the number of years searched. There were 36 publications identified, with 19 articles being the basis of this review. Multiple risk factors have been identified including multiparity, macrosomia, cephalopelvic disproportion, forceps deliveries, precipitous labor, malpresentation, prior pelvic trauma, and use of the McRoberts maneuver. The diagnosis is usually made clinically, confirmed by imaging, and considered pathological when the intrapubic gap is greater than 10 mm. Magnetic resonance imaging appears to be superior to pelvic x-ray and computed tomography scan in visualization of the bone separation. Conservative treatment remains the first choice for therapy, but women who do not respond to conservative therapy or women with large separations may need surgical stabilization with external or internal fixation. Widening of the pubic symphysis greater than 10 mm is pathologic. The diagnosis is clinical and confirmed by imaging studies, with magnetic resonance imaging being the superior technique. Conservative treatment is the first line of therapy. Failure of conservative therapy is treated by surgical stabilization.

(PDF emailed within 0-6 h: $19.90)

Accession: 058661052

Download citation: RISBibTeXText

PMID: 26584720

DOI: 10.1097/OGX.0000000000000247

Related references

Separation of the pubic symphysis during pregnancy and after treatment with relaxin in two subspecies of Peromyscus maniculatus. Gen And Comp Endocrinol 1(5/6): 386-391, 1961

Pregnancy-associated symphysis damage from the orthopedic viewpoint--studies of changes of the pubic symphysis in pregnancy, labor and post partum. Zeitschrift für Orthopadie und ihre Grenzgebiete 139(5): 458-462, 2001

A retrospective study on the efficacy of pubic symphysis corticosteroid injections in the treatment of pubic symphysis pain. Pain Medicine 12(12): 1831-1835, 2012

Traumatic rupture of the pubic symphysis associated with a rupture of the urinary bladder. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca 36(4): 238-241, 1969

Traumatic rupture of pubic symphysis. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca 24(4): 308-311, 1957

The significance of pubic symphysis rupture. Zentralblatt für Gynakologie 76(19): 752-758, 1954

Obstetrical rupture of the pubic symphysis. La Chirurgia Degli Organi di Movimento 66(4): 527-530, 1980

Device for treatment of pubic symphysis rupture. Ortopediia Travmatologiia i Protezirovanie 1982(1): 55-57, 1982

Rupture of pubic symphysis in spontaneous labor. Revista Espanola de Obstetricia Y Ginecologia 9(49): 1-10, 1950

Characteristics of the diagnosis of rupture of the pubic symphysis. Vestnik Khirurgii Imeni I. I. Grekova 142(4): 50-52, 1989

Separation of the Pubic Symphysis Due to Labor. Rivista d'Ostetricia E Ginecologia Pratica 45: 1053-1665, 1963

Symptomatic separation of the pubic symphysis. Southern Medical Journal 79(5): 578-580, 1986

A case of pubic symphysis separation. Polski Tygodnik Lekarski 49(8-9): 203, 1994

Device for treating traumatic rupture of the pubic symphysis. Ortopediia Travmatologiia i Protezirovanie 1984(3): 51-52, 1984

Spontaneous rupture of the pubic symphysis in the course of normal labor. Bulletin de la Federation des Societes de Gynecologie et Dobstetrique de Langue Francaise 23(4): 509-511, 1971