Symphyseal separation

BACKGROUND: Separation of the pubic symphysis up to 1 cm during pregnancy and delivery occurs frequently. This report presents a woman who experienced a large symphyseal separation. CASE: Following delivery, a 35-year-old primipara complained of hip and groin pain associated with leg movement. An anterior-posterior pelvic X-ray showed a pubic separation of 9.5 cm and a 3-5 mm widening of die sacroiliac joints. She was treated with a pelvic binder, walker, and physical therapy. The diastasis has since undergone progressive reduction. CONCLUSION: Separation of die pubic symphysis during pregnancy and delivery is normal. However, a large separation is a potential complication requiring treatment and follow-up. Conservative management including analgesia, rest, and a pelvic binder is a reasonable method of management. © 2005 by The American College of Obstetricians and Gynecologists.