1/4. Vaginal delivery with intrapartum pubic symphysis separation. A case report.BACKGROUND: pubic symphysis separation is an uncommon complication of pregnancy. It can occur during the antepartum, intrapartum and postpartum period. CASE: A 29-year-old woman, gravida 2, para 1, at 39 weeks' pregnancy, experienced regular labor pain and suprapubic pain for 3 hours. Her clinical presentation and physical examination led to the diagnosis of intrapartum pubic symphysis separation. Vaginal delivery was chosen because there was no cephalopelvic disproportion. The obstetric outcome was favorable, with a healthy female infant of 3,150 g. The patient underwent conservative management during the postpartum period. She was doing well at the 6-week follow-up. CONCLUSION: In the absence of obstetric indications for cesarean delivery, vaginal delivery can be achieved in cases of intrapartum pubic symphysis separation. Conservative management usually results in complete recovery.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/4. Postpartum obturator neurapraxia. A case report.BACKGROUND: obturator nerve injury is a rare complication of vaginal delivery. CASE: Postpartum obturator neurapraxia was clinically diagnosed in a 22-year-old woman on the first postpartum day after a vaginal delivery. With physical therapy, the neurologic symptoms resolved by the third postpartum month. CONCLUSION: Maternal nerve injuries are uncommon in obstetrics. The diagnosis of obturator neurapraxia is usually made clinically. The symptoms will resolve with conservative physical therapy alone in the majority of cases.- - - - - - - - - - ranking = 2keywords = physical (Clic here for more details about this article) |
3/4. Symphyseal separation.BACKGROUND: Separation of the pubic symphysis up to 1 cm during pregnancy and delivery occurs frequently. This report presents a woman who experienced a large symphyseal separation. CASE: Following delivery, a 35-year-old primipara complained of hip and groin pain associated with leg movement. An anterior-posterior pelvic X-ray showed a pubic separation of 9.5 cm and a 3-5 mm widening of the sacroiliac joints. She was treated with a pelvic binder, walker, and physical therapy. The diastasis has since undergone progressive reduction. CONCLUSION: Separation of the pubic symphysis during pregnancy and delivery is normal. However, a large separation is a potential complication requiring treatment and follow-up. Conservative management including analgesia, rest, and a pelvic binder is a reasonable method of management.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/4. Factors predisposing to difficult labor in primiparas.Why do some women have difficult labor whereas other women have relatively easy labor? A study of possible predisposing factors was conducted in 398 and 383 primiparas admitted for uncomplicated spontaneous labor at two hospitals. Psychosocial factors, notably anxiety about childbirth, and physical factors, especially maternal height and body mass index, were measured before the onset of labor. Difficult labor was defined in primiparas admitted to the hospital for spontaneous uncomplicated labor as (1) prolonged labor that was longer than 15 hours from admission until full dilation with vaginal delivery or (2) cesarean section. anxiety about childbirth as self-reported before the onset of labor did not predispose to difficult labor at either hospital. Short height and heavy body mass index predisposed to difficult labor. Further work is needed to elucidate psychosocial factors predisposing to difficult labor.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |