Rupture of the symphysis pubis during vaginal delivery followed by two subsequent uneventful pregnancies

被引：35

作者：

Culligan, P ^{[1
]}

Hill, S ^{[1
]}

Heit, M ^{[1
]}

机构：

[1] Univ Louisville, Hlth Sci Ctr, Dept Obstet & Gynecol, Div Urogynecol & Reconstruct Pelv Surg, Louisville, KY 40202 USA

来源：

OBSTETRICS AND GYNECOLOGY | 2002年 / 100卷 / 05期

关键词：

D O I：

10.1016/S0029-7844(02)02155-5

中图分类号：

R71 [妇产科学];

学科分类号：

100211 [妇产科学];

摘要：

BACKGROUND: Rupture of the symphysis pubis during vaginal delivery is a rare but debilitating complication. Factors contributing to rupture are poorly defined. CASE: A healthy primigravida suffered a rupture of her symphysis pubis during an otherwise uncomplicated vaginal delivery. She experienced significant pain and difficulty walking for 6 months after the injury. Her 5-cm symphyseal separation was managed successfully with physical therapy and activity restriction. The patient's two subsequent deliveries (one vaginal and one via cesarean delivery) were uneventful. CONCLUSION: Severe symphyseal rupture during vaginal delivery can be managed without surgery. Risk factors for rupture are not well defined. Based on a literature review, there is a significant risk of repeat symphyseal rupture with subsequent vaginal delivery. (C) 2002 by The American College of Obstetricians and Gynecologists.

引用

页码：1114 / 1117

页数：4

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