|Text in Italics is general (instructional) information|
X ray just after delivery
One month post delivery
The incidence of symphysis pubis separation is reported to be between 1:600 and 1:3400 obstetric patients. Treatment should generally be conservative and symptomatic. Prognosis for recovery is excellent. Recurrent separation of the symphysis pubis could occur during subsequent deliveries but generally is no worse than the first occurrence
Characteristic symptoms of symphyseal separation include suprapubic pain and tenderness with radiation to the back or legs, difficulty ambulating, and occasionally, bladder dysfunction.
Associations with multiparity, macrosomia, pathological joint loosening, and increased force placed on the pelvic ring have been suggested as possible etiologies. Conservative therapy, including bedrest, pelvic binders, ambulation devices, and mild analgesics usually result in a complete recovery within 4 to 6 weeks.