Postpartum Pubic Symphysis Diastasis Following Vaginal Delivery: A Case Report | ||
| International Journal of Health Sciences (Egypt) | ||
| Articles in Press, Accepted Manuscript, Available Online from 31 May 2025 | ||
| Document Type: Case Report | ||
| DOI: 10.21608/ijhegy.2025.386703.1062 | ||
| Authors | ||
| Ramat Olufunmi Mohammed-Nasir* 1; Beatrice omolola owolabi2; Eniola Risikat Kadir3; Ibrahim babatunde mustapha4 | ||
| 1DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY, UNIVERSITY OF ILORIN, ILORIN, KWARA STATE, NIGERIA. | ||
| 2department of obstetrics and gynaecology, university of ilorin teaching hospital, ilorin, nigeria | ||
| 3department of obstetrics and gyanecology, university of ilorin teaching hospital, ilorin, nigeria. department of anatomy, university of ilorin, ilorin, nigeria | ||
| 4department of obstetrics and gynaecology, lancashire teaching hospitals, preston, united kingdom | ||
| Abstract | ||
| Pubic symphysis diastasis (PSD) is a rare but potentially debilitating complication following vaginal childbirth. It involves excessive separation of the pubic symphysis of more than 10 mm and presents with severe pelvic pain and functional limitation. We report a case of PSD in a 26-year-old primiparous woman who presented with severe bilateral leg and groin pain 22 hours postpartum. She was in lithotomy position for two hours and had fundal pressure in the second stage of labour. She delivered a moderate-sized baby who suffered birth asphyxia. The diagnosis was confirmed radiologically using a pelvic X-ray, which is readily available and less expensive in our environment. Conservative management with analgesia, bed rest, pelvic support, and early ambulation led to complete recovery. This report emphasizes the need for high clinical suspicion of PSD and prompt multidisciplinary management in postpartum women presenting with severe inability to work without support, swelling in the pubis and pelvic discomfort. | ||
| Keywords | ||
| Postpartum; Pubic symphysis diastasis; Pregnancy; conservative; management | ||
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