Abstract
Separation of the symphysis pubis is a relatively rare obstetric complication. It usually occurs following spontaneous uncomplicated delivery. Short second stage might play a role in the causation of this complication. It may be accompanied by prolonged urinary retention due to bladder atony. Early catheterization, bed rest, early ambulation, and circular pelvic bandage are recommended as conservative management. Surgical treatment is reserved only for rare patients who fail to respond to conservative treatment. Management of subsequent deliveries is subject to debate, and the options of elective cesarean section vs. vaginal delivery should be discussed. The prognosis is favorable with complete recovery in most cases after conservative management.
Original language | English |
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Pages (from-to) | 1267-1269 |
Number of pages | 3 |
Journal | Acta Obstetricia et Gynecologica Scandinavica |
Volume | 85 |
Issue number | 10 |
DOIs | |
State | Published - 1 Oct 2006 |
Externally published | Yes |
Keywords
- Postpartum complications
- Symphysis pubis separation
- Urinary retention postpartum
ASJC Scopus subject areas
- Obstetrics and Gynecology