Journal of Musculoskeletal Trauma

Original Articles

Separation of the Symphysis Pubis during Childbirth: Dong Ju Shin, Young Soo Byun, Se Ang Chang, Ok Rang Park, Shin Yoon Kim, Dae Hee Hwang, Sung Rak Lee, Dong Young Kim; J Korean Fract Soc 2006;19(4):412-417. Published online October 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.4.412

Abstract: PURPOSE
To evaluate the clinical features and incidence of separation of the symphysis pubis during childbirth, and to evaluate the risk factors of the lesion and the outcome of treatment.
MATERIALS AND METHODS
Seventy two cases of separation of symphysis pubis among 66,721 delivery between January 1992 and December 2004 was selected. The control group was composed of 498 cases without separation of symphysis pubis during childbirth. Several factors increasing the risk of this lesion were assessed using Ï‡

Diastasis of the Symphysis Pubis During Vaginal Delivery: Woo Nam Moon, Kwan Young Joo, Seung Woo Suh; J Korean Soc Fract 2001;14(1):37-43. Published online January 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.1.37

Abstract PDF: PURPOSE
The objectives of this study are to observe the clinical characteristics and incidence of diastasis of symphysis pubis during vaginal delivery and to evaluate the risk factors of the lesion.
METHODS
AND MATERIALS: 16,000 vaginal delivery cases of our center from 1997 to 1999 were reviewed. The severe pain in symphysis pubis and walking difficulty after delivery were used as a diagnostic criterion. Several factors that increase the risk of this lesion during delivery were reviewed and analyzed by t-test between diastasis group (n=55) and normal group (n=100).
RESULTS
Fifty-five diastasis of symphysis pubis were diagnosed out of 16,000 normal vaginal delivery cases during that period. The widening of the joint ranged from 4mm to 34mm. Sixteen cases accompanied vertical mobility. No factor was proved to increase the risk of the lesion. Initial body weight of infant had suggestive significance (P=0.051).
CONCLUSION
We couldn't prove any risk factors that increased the risk of diastasis of symphysis pubis during vaginal delivery in this study. Further prospective studies with more cases would be needed to disclose the risk factors.

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