Postpartum pubic separation associated with prolonged urinary retention following spontaneous delivery

Dan V. Valsky, Eyal Y. Anteby, Nurith Hiller, Hagai Amsalem, Simcha Yagel, Drorith Hochner-Celnikier

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

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 languageEnglish
Pages (from-to)1267-1269
Number of pages3
JournalActa Obstetricia et Gynecologica Scandinavica
Volume85
Issue number10
DOIs
StatePublished - 1 Oct 2006
Externally publishedYes

Keywords

  • Postpartum complications
  • Symphysis pubis separation
  • Urinary retention postpartum

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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