Journal List > Korean J Obstet Gynecol > v.54(2) > 1088246

Korean J Obstet Gynecol. 2011 Feb;54(2):107-110. Korean.
Published online February 16, 2011.  https://doi.org/10.5468/KJOG.2011.54.2.107
Copyright © 2011. Korean Society of Obstetrics and Gynecology
A 80 mm separation of the symphsis pubis during vaginal delivery
Paek Lee, MD,1 Euy Hyuk Kim, MD,1 and Han Kook Yoon, MD2
1Department of Obstetrics and Gynecology, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.
2Department of Orthopedics, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.

Corresponding author: Euy Hyuk Kim, MD. Department of Obstetrics and Gynecology, National Health Insurance Corporation Ilsan Hospital, 1232 Baekseok-dong, Ilsandong-gu, Goyang 410-719, Korea. Tel: +82-31-900-0211, Fax: +82-31-900-0138, Email: raksumi10@gmail.com
Received December 29, 2010; Accepted February 01, 2011.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Separation of the symphysis pubis during the vaginal delivery is rare, but a serious complication. Treatment is generally conservative with rest and appropriately fi tted pelvic binder. But surgery may be necessary when symphyseal separation is more than 40 mm. A case of 80 mm separation of symphysis pubis developed after vaginal delivery is presented with review of the literature.

Keywords: Symphysis pubis; Vaginal delivery; Separation

Figures


Fig. 1
A 80 mm separation of the symphysis pubis (5 days after vaginal delivery).
Click for larger image


Fig. 2
After 12 days of delivery showing a 30 mm separation of the symphysis pubis with parts of pelvic brace.
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Fig. 3
At readmission, after 35 days of delivery showing a 20 mm separation of the symphysis pubis with parts of pelvic brace.
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Fig. 4
After 6 months of delivery showing without any instrument.
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