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Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (3): 464-466    DOI: 10.12891/ceog3533.2017
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Post-partum management of severe pubic diastasis
N.B. Mulchandani1, J.J. Jauregui1, R. Abraham1, E. Seger1, E. Illical1, *()
1 Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center, Brooklyn, NY, USA
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Abstract  Introduction: Pubic symphysis diastasis during pregnancy is a rare complication which can present as pain with ambulation, urinary dysfunction, and pelvic instability. A consensus treatment does not currently exist between surgical and conservative management. The authors present a case of severe pubic diastasis which was successfully treated using a conservative pelvic binder. Case Report: A 31- year-old female presented with severe lower back pain following the uneventful delivery of her fourth child. On radiograph, a pubic symphysis diastasis of 5.5 cm was noted and she was subsequently fitted with a pelvic binder on post-partum day 3. She experienced a full range of motion and was pain free at six-week follow-up, with a diastasis of 2.1 cm present. At one year and three-month follow-up, the patient presented with a diastasis of 2.4 cm and continued to have full range of motion and mobility. Conclusion: This case contributes to the literature in showing that conservative treatment of pubic diastasis could be considered in cases where separation has exceeded normal physiologic limits.
Key words:  Post-partum management      Pubic symphysis diastasis      Conservative treatment     
Published:  10 June 2017     
*Corresponding Author(s):  J. ILLICAL     E-mail:  emmanuel.illical@downstate.edu

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N.B. Mulchandani, J.J. Jauregui, R. Abraham, E. Seger, E. Illical. Post-partum management of severe pubic diastasis. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(3): 464-466.

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https://ceog.imrpress.com/EN/10.12891/ceog3533.2017     OR     https://ceog.imrpress.com/EN/Y2017/V44/I3/464

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