Abstract

*Dr. Snehal Prakashrao Pawar and Dr. J. S. Deshmukh

ABSTRACT

Pubic Symphysis Diastasis is defined as separation of the joint, without fracture. Pubic Symphysis Diastasis following childbirth via vaginal delivery is a rare but debilitating condition. It is a condition that allows excess lateral or anterior movement about the Symphysis pubis and can result in Symphysis pubis dysfunction. It is usually noticed after delivery and has been associated with forceps delivery, rapid second stage of labour or severe abduction of the thighs during delivery. Unbearable pain on moving from side- to-side and on performing any weight-bearing activity such as walking or climbing stairs precludes ambulation in the immediate postpartum period. Radiography, ultrasound and magnetic resonance imaging are the diagnostic modalities that aid confirmation of diagnosis. There is no overwhelming evidence in the medical literature to support any particular treatment. Most of the cases can be treated Conservatively. However, external and internal surgical stabilization may occasionally be required. A Case is reported here of severe separation of the Symphysis pubis during delivery, including several Previously unreported complications. A review of the literature follows, highlighting the variety in Presentation, treatment, and prognosis.