A 80 MM SEPARATION OF THE SYMPHSIS PUBIS DURING VAGINAL DELIVERY

Paek Lee; Euy Hyuk Kim; Han Kook Yoon

doi:10.5468/KJOG.2011.54.2.107

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Lee, Kim, and Yoon: A 80 MM SEPARATION OF THE SYMPHSIS PUBIS DURING VAGINAL DELIVERY

Case Report

Korean J Obstet Gynecol 2011;54(2):107-110.

Published online: 21 January 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.2.107

A 80 MM SEPARATION OF THE SYMPHSIS PUBIS DURING VAGINAL DELIVERY

Paek Lee, MD¹, Euy Hyuk Kim, MD¹, 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 E-mail: raksumi10@gmail.com

Received 29 December 2010 Accepted 1 February 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 fitted 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

REFERENCES

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Fig. 1.

A 80 mm separation of the symphysis pubis (5 days after vaginal delivery).

Fig. 2.

After 12 days of delivery showing a 30 mm separation of the symphysis pubis with parts of pelvic brace.

Fig. 3.

At readmission, after 35 days of delivery showing a 20 mm separation of the symphysis pubis with parts of pelvic brace.

Fig. 4.

After 6 months of delivery showing without any instrument.

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