Why does symphysitis appear during pregnancy and how is it treated

What is symphysitis and how is it dangerous

Symphysitis Ultrasound diagnosis of the pubic symphysis in women is a condition that occurs in pregnant women when the cartilage between the pubic bones becomes loose and stretches to the sides more than usual.

The main danger is that during childbirth, tension in the womb can become critical and lead to rupture of the ligaments. Sometimes this damages V. E. Radzinsky, A. M. Fuks. - Obstetrics clitoris, urethra and bladder. A woman after an injury will not be able to move independently and go to the toilet normally. Therefore, it is important to notice the symphysitis in time.

Why does symphysitis appear during pregnancy

The pelvis consists of two symmetrical parts, each of which is formed by three bones: the ilium, ischium, and pubic. They grow together motionlessly in childhood. Behind, the halves are attached to the sacrum, and in front of the bosom forms an immobile joint - the symphysis. It is formed by cartilaginous tissue and is additionally strengthened by ligaments, and its width Postpartum pubic symphysis diastasis-conservative and surgical treatment methods, incidence of complications: Two case reports and a review of the literature on an X-ray image is only 4–5 mm.

Symphysitis during pregnancy: the structure of the pelvis and the location of the symphysis

Changes in the pubic joint are observed after pregnancy. If a pelvic x-ray is taken at 38-40 weeks, the distance between the pubic bones will be 6-8 mm.

An increase in the width of the cartilage occurs. Ultrasound diagnostics of the condition of the pubic joint in women due to endocrine changes. The woman gradually increases the level of the hormones progesterone and relaxin, which cause swelling of the connective tissue, make it loose, and the ligaments - stretchable. This is a normal process that is needed to increase the volume of the pelvis and reduce the pressure of the bones on the head of the fetus.

But sometimes, by the end of pregnancy, the width of the pubic joint reaches 1 cm or becomes even greater. Researchers do not know exactly why the discrepancy of the pubic symphysis occurs during pregnancy and childbirth, but they suggest that this is due to increased activity of hormones, individual characteristics of connective tissue, a violation of the Assessment of the effectiveness and safety of calcium therapy in pregnant women with calcium metabolism symphysiopathy or previous trauma.

In women who have experienced symphysitis in a previous pregnancy, a predisposition to the disease remains.

What are the signs of symphysitis during pregnancy

Sometimes symphysitis does not have any symptoms Postpartum pubic symphysis diastasis-conservative and surgical treatment methods, incidence of complications: Two case reports and a review of the literature, but most often pregnant women notice that during movement, when raising the leg or pulling it to the side aching pain in the pubis appears. It gives off to the stomach, groin, lower back or thigh. The discomfort is so strong that when walking, a woman loses her stability and may fall.

Less commonly, symphysitis is accompanied by impaired urination or uneven movement in the pelvic joint.

If the disease is associated with a calcium deficiency, the pregnant woman has cramps in the calf muscles.

How is symphysitis diagnosed?

If a pregnant woman has pain in the pubic bone, she should tell her gynecologist about it. The doctor will conduct an examination and prescribe additional examinations:

Ultrasound Ultrasound diagnostics of the condition of the pubic symphysis in women of the pubic symphysis. This is a safe method that does not harm the fetus. The doctor will calculate the distance (diastasis) between the pubic bones and assess the condition of the cartilage tissues.
Radiography. Rarely used to diagnose symphysitis in pregnant women due to hazardous radiation exposure to the fetus. But it is allowed to take a picture at a later date, when the child is fully formed, or after childbirth. On the X-ray, the discrepancy of the pubic bones is clearly visible.
MRI A method for diagnosing ligament ruptures of the pubic articulation during pregnancy and in the postpartum period of the pelvis. Allows you to safely diagnose symphysitis, if there is cartilage destruction, to determine its degree.
Blood chemistry. The doctor examines the level of calcium and magnesium in the blood to identify the relationship of pathology with metabolic disorders.

How is symphysitis treated

For the treatment of symphysitis during pregnancy, the following methods are used:

Medicines. In some cases, Evaluation of the efficacy and safety of calcium therapy in pregnant women with symphysiopathy, calcium and magnesium supplements, helps. To reduce pain, Postpartum pubic symphysis diastasis-conservative and surgical treatment methods, incidence of complications: Two case reports and a review of the literature, non-steroidal anti-inflammatory drugs are used.
Bandage The use of a combined bandage in pregnant women with pubic articulation dysfunction. It provides support for the abdomen and lower back, reduces stress on the pelvis, relieves pain in the pubic bone and reduces the risk of symphysis dehiscence during childbirth.

If a rupture of the pubic symphysis occurs during childbirth, it can be restored with the surgical Postpartum pubic symphysis diastasis-conservative and surgical treatment methods, incidence of complications: Two case reports and a review of the literature by. For this, the joint is fastened with a special plate or a single screw Progress in treatment of pubic symphysis diastasis.

Sometimes, with symphysitis of a pregnant woman, a Cesarean section is performed during pregnancy and childbirth to prevent injury to the pubic joint. But such an operation is not done to everyone, but only if the pathology is combined with signs of cartilage destruction on MRI, the woman has a narrow pelvis or other diseases in which it is impossible to give birth naturally.