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A 21-year-old primigravida at nearly 40 weeks' gestation presented with a spontaneous onset of pelvic pain and difficulty in walking. After a rapid delivery, the postpartum physical examination revealed pain only with weight bearing and abduction and adduction at both hips. Pelvic radiography showed a 23-mm diastasis of the symphysis pubis (arrow). The reported incidence of nontraumatic diastasis varies widely, from 1 in 300 pregnancies to 1 in 30,000 pregnancies. In a nonpregnant woman, the normal pubic symphysis gap ranges from 4 to 5 mm. With pregnancy, the gap increases by at least 2 to 3 mm, which is thought . . . [Full Text of this Article] |
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