Symphysis pubis dysfunction: a practical approach to management

@article{Jain2006SymphysisPD,
  title={Symphysis pubis dysfunction: a practical approach to management},
  author={Smita Jain and P. Eedarapalli and P. Jamjute and R. Sawdy},
  journal={The Obstetrician \& Gynaecologist},
  year={2006},
  volume={8}
}
Symphysis pubis dysfunction is a relatively common and debilitating condition affecting pregnant women. It is painful and can have a significant impact on quality of life, which can lead to potentially serious complications such as depression. Effective management remains difficult to determine because of a variation in reported occurrence rates and symptomatology. There is little published assessment of treatments and no standardised management protocols are available. This article describes… Expand
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References

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TLDR
A review of the literature revealed a multitude of terms used to describe Symphysis Pubis Dysfunction, and there appears to be no correlation between the degree of relaxation of the symphysis pubis and the level of pain and disability. Expand
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TLDR
A nurse midwife's role is prompt diagnosis, medical consultation, support, and education for separation of the symphysis pubis bone in late pregnancy or during delivery. Expand
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TLDR
The signs, symptoms and management of this condition are difficult to formulate until more research and the education of midwives and doctors has taken place, but will provide a better informed workforce to help alleviate a very stressful workforce. Expand
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TLDR
The occurrence of a symphyseal separation should not significantly alter the management of subsequent pregnancies, and conservative therapy is recommended for any recurrence of symptoms, which usually result in a complete recovery with 4 to 6 weeks. Expand
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TLDR
Further research is needed to identify the best practice in the antenatal care provided, including the provision of support belts, the most appropriate mode of delivery and postnatal treatment. Expand
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TLDR
A case of severe symphysis pubis dysfunction in a parturient during her second trimester of a twin pregnancy and simple analgesics and physiotherapy allowed control of pain until vaginal delivery 15 weeks later. Expand
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TLDR
Thirteen post‐partum patients with symphysiolysis were treated by intra‐symphysial injection of a combination of hydrocortisone, chymotrypsin and lidocain, shortened the time of morbidity and effected complete recovery. Expand
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TLDR
Investigation of the diagnosis and consequences of pubic symphysis diastasis postpartum included an ultrasonographic comparison between symptomatic mothers and controls and interpubic gap was measured with ultrasonography. Expand
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TLDR
The objective of the protocol development group was to develop a protocol which bridges professional roles and service/agency boundaries, and to raise awareness of the issue and protocol with professionals and women who use the service. Expand
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