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Symphysis Pubis Dysfunction

MedGen UID:
453280
•Concept ID:
C2609259
•
Disease or Syndrome
Synonyms: Dysfunction, Symphysis Pubis; Dysfunctions, Symphysis Pubis; Pubis Dysfunction, Symphysis; Pubis Dysfunctions, Symphysis; Symphysis Pubis Dysfunctions

Definition

Pelvic pain due to physiological pelvic ligament relaxation and increased joint mobility. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSymphysis Pubis Dysfunction

Professional guidelines

PubMed

National clinical guidelines for the care of women with symphysis pubis dysfunction. Association of Chartered Physiotherapists in Women's Health.
Fry D, Hay-Smith J, Hough J, McIntosh J, Polden M, Shepherd J, Watkins Y
Midwives (1995) 1997 Jul;110(1314):172-3. PMID: 9256762

Recent clinical studies

Etiology

Incidence and risk factors of symptomatic peripartum diastasis of pubic symphysis.
Yoo JJ, Ha YC, Lee YK, Hong JS, Kang BJ, Koo KH
J Korean Med Sci 2014 Feb;29(2):281-6. Epub 2014 Jan 28 doi: 10.3346/jkms.2014.29.2.281. PMID: 24550659Free PMC Article
Increased maternal BMI is associated with an increased risk of minor complications during pregnancy with consequent cost implications.
Denison FC, Norrie G, Graham B, Lynch J, Harper N, Reynolds RM
BJOG 2009 Oct;116(11):1467-72. Epub 2009 Jun 4 doi: 10.1111/j.1471-0528.2009.02222.x. PMID: 19496775
Management of symphysis pubis dysfunction during pregnancy using exercise and pelvic support belts.
Depledge J, McNair PJ, Keal-Smith C, Williams M
Phys Ther 2005 Dec;85(12):1290-300. PMID: 16305268

Diagnosis

Incidence and risk factors of symptomatic peripartum diastasis of pubic symphysis.
Yoo JJ, Ha YC, Lee YK, Hong JS, Kang BJ, Koo KH
J Korean Med Sci 2014 Feb;29(2):281-6. Epub 2014 Jan 28 doi: 10.3346/jkms.2014.29.2.281. PMID: 24550659Free PMC Article
The development of a scoring system for symphysis pubis dysfunction.
Leadbetter RE, Mawer D, Lindow SW
J Obstet Gynaecol 2006 Jan;26(1):20-3. doi: 10.1080/01443610500363915. PMID: 16390703
Symphysis pubis dysfunction: a review of the literature.
Leadbetter RE, Mawer D, Lindow SW
J Matern Fetal Neonatal Med 2004 Dec;16(6):349-54. doi: 10.1080/14767050400018247. PMID: 15621554
Symphysis pubis dysfunction--a cause of significant obstetric morbidity.
Owens K, Pearson A, Mason G
Eur J Obstet Gynecol Reprod Biol 2002 Nov 15;105(2):143-6. doi: 10.1016/s0301-2115(02)00192-6. PMID: 12381476
National clinical guidelines for the care of women with symphysis pubis dysfunction. Association of Chartered Physiotherapists in Women's Health.
Fry D, Hay-Smith J, Hough J, McIntosh J, Polden M, Shepherd J, Watkins Y
Midwives (1995) 1997 Jul;110(1314):172-3. PMID: 9256762

Therapy

Management of symphysis pubis dysfunction during pregnancy using exercise and pelvic support belts.
Depledge J, McNair PJ, Keal-Smith C, Williams M
Phys Ther 2005 Dec;85(12):1290-300. PMID: 16305268
Epidural analgesia for acute symphysis pubis dysfunction in the second trimester.
Scicluna JK, Alderson JD, Webster VJ, Whiting P
Int J Obstet Anesth 2004 Jan;13(1):50-2. doi: 10.1016/j.ijoa.2003.08.006. PMID: 15321442

Prognosis

Incidence and risk factors of symptomatic peripartum diastasis of pubic symphysis.
Yoo JJ, Ha YC, Lee YK, Hong JS, Kang BJ, Koo KH
J Korean Med Sci 2014 Feb;29(2):281-6. Epub 2014 Jan 28 doi: 10.3346/jkms.2014.29.2.281. PMID: 24550659Free PMC Article
The use of acupuncture in maternity care: a pilot study evaluating the acupuncture service in an Australian hospital antenatal clinic.
Hope-Allan N, Adams J, Sibbritt D, Tracy S
Complement Ther Nurs Midwifery 2004 Nov;10(4):229-32. doi: 10.1016/j.ctnm.2004.07.001. PMID: 15519940

Clinical prediction guides

The development of a scoring system for symphysis pubis dysfunction.
Leadbetter RE, Mawer D, Lindow SW
J Obstet Gynaecol 2006 Jan;26(1):20-3. doi: 10.1080/01443610500363915. PMID: 16390703
Management of symphysis pubis dysfunction during pregnancy using exercise and pelvic support belts.
Depledge J, McNair PJ, Keal-Smith C, Williams M
Phys Ther 2005 Dec;85(12):1290-300. PMID: 16305268

Recent systematic reviews

The effectiveness of stabilising exercises in pelvic girdle pain during pregnancy and after delivery: A systematic review.
Almousa S, Lamprianidou E, Kitsoulis G
Physiother Res Int 2018 Jan;23(1) Epub 2017 Nov 8 doi: 10.1002/pri.1699. PMID: 29115735

Supplemental Content

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    Practice guidelines

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      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

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