Peripartum Pubic Symphysis Diastasis—Practical Guidelines
Abstract
:1. Introduction
2. Pubic Symphysis Diastasis—Incidence and Preliminary Characteristics
3. Anatomy and Pathophysiology of Pubic Symphysis
4. Etiology
5. Clinical Symptoms
6. Differentiation
- Are you having difficulty rolling over in bed?
- Does pain increase/decrease when climbing stairs?
- Are you feeling uncomfortable during a full-length stride?
- Do you have difficulties getting up from low chairs?
- Does pelvic pain occur when moving small weights?
- Is there any pain when you roll over in bed?
- Is there any pain when getting up from a chair or walking upstairs?
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- History of pelvic pain after childbirth;
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- After excluding other diseases;
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- With obvious clinical symptoms.
7. Imaging
8. Non-Operative Treatment Approach
9. Invasive Methods of Treatment
10. Physiotherapy in the Dissolution of the Pubic Symphysis
11. PSD and Delivery
12. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Etiological Factors of Peripartum Pubic Symphysis Separation |
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Congenital pelvic asymmetry, hyperlordosis, pathological pelvic dimensions Improper regulation of collagen synthesis, generalized joint laxity Increased release of relaxin, estrogen and progesterone Metabolic abnormalities of wit. D and calcium turnover Past history of pelvic trauma Inflammation of sacropelvic joints/pubic symphysis Osteoarthritic changes Macrosomia, high mother’s age, previous complications during delivery Forceps delivery Sports: football, basketball, light athletics |
Most Common Signs and Symptoms of Pubic Symphysis Separation |
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Pain radiating to sub-abdominal region, sacroiliac area, inguinal area, and lateral part of the thigh Problems with daily living activities (bending, standing on one leg, rising up, walking on the stairs, changing position in bed) Pain that wears off after rest Clicking in the area of pubic symphysis Swaying while walking (duckling) Urinary retention Urinary/fecal incontinence |
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Stolarczyk, A.; Stępiński, P.; Sasinowski, Ł.; Czarnocki, T.; Dębiński, M.; Maciąg, B. Peripartum Pubic Symphysis Diastasis—Practical Guidelines. J. Clin. Med. 2021, 10, 2443. https://doi.org/10.3390/jcm10112443
Stolarczyk A, Stępiński P, Sasinowski Ł, Czarnocki T, Dębiński M, Maciąg B. Peripartum Pubic Symphysis Diastasis—Practical Guidelines. Journal of Clinical Medicine. 2021; 10(11):2443. https://doi.org/10.3390/jcm10112443
Chicago/Turabian StyleStolarczyk, Artur, Piotr Stępiński, Łukasz Sasinowski, Tomasz Czarnocki, Michał Dębiński, and Bartosz Maciąg. 2021. "Peripartum Pubic Symphysis Diastasis—Practical Guidelines" Journal of Clinical Medicine 10, no. 11: 2443. https://doi.org/10.3390/jcm10112443
APA StyleStolarczyk, A., Stępiński, P., Sasinowski, Ł., Czarnocki, T., Dębiński, M., & Maciąg, B. (2021). Peripartum Pubic Symphysis Diastasis—Practical Guidelines. Journal of Clinical Medicine, 10(11), 2443. https://doi.org/10.3390/jcm10112443