Pubic symphysis. Divergence of the pubic symphysis during pregnancy

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

During the period of bearing a child, a woman may face various difficulties. Approximately half of all expectant mothers are concerned about the pubic symphysis. Unpleasant sensations can appear both at the very beginning of the period, and closer to childbirth. This article will tell you about what is the divergence of the pubic symphysis during pregnancy. You will learn the features of the pathology and how to diagnose it.

What is this

The pubic symphysis is the so-called area that connects the side bones of a woman's pelvis. It is worth noting that this area is also in the body of a man. The pubic symphysis is attached to the bones by ligaments. Their stretch is usually less than five millimeters.

The described area is located above the penis in men and on top of the clitoris in women. Outwardly, it resembles a trapezoid, turned upside down with a smaller base. The symphysis, or pubic joint, has the structure of a cartilaginous disc. It can move freely under the influence of some factors.

Divergence of the pubic symphysis

Most oftenin the normal state, this area of \u200b\u200bthe body does not bother men and women. However, during the gestation of the fetus, everything can change. So, about fifty percent of the fairer sex, who are in an interesting position, are faced with the fact that there is a strong sprain. In this case, we are talking about the divergence of the pubic symphysis.

If there is a slight deviation from the norm, no correction is required. However, a strong increase in the clearance between the pubic joint and the pelvic bones leads to unpleasant symptoms. In especially severe cases, a woman is forced to seek medical help.

Diagnosis of pathology

To determine the condition of a pregnant woman and the complexity of the situation, it is necessary to perform an ultrasound of the pubic symphysis. You can also examine the aforementioned area using x-rays. However, during the period of bearing a baby, they try not to use this method. There are several stages of pathology.

• The first degree of discrepancy. In this case, the symptoms are not pronounced. The gap between the pelvic bones and the pubic joint is no more than nine millimeters. Often expectant mothers have this particular form of articulation divergence.
• Second stage. At this stage, the length of the ligaments is stretched to two centimeters. At the same time, the woman already feels quite unpleasant symptoms. Doctors advise it is with the second degree of discrepancy to seek help.
• Third degree. When the bones move away from the pelvic bases by more than two centimeters, we are talking about the third stage of the pathology. Costsnote that the symptoms in this case become very pronounced. Sometimes a woman simply cannot move normally.

In addition to information obtained through ultrasound diagnostics or x-rays, the doctor must take into account the patient's complaints. Sometimes it also happens that the symptoms are very pronounced, while the discrepancy does not exceed one centimeter.

symptoms of pubic symphysis divergence

Rupture of the pubic symphysis is always accompanied by unbearable pain. With the development of such a complication, a person simply cannot move independently. However, among the symptoms of the onset of pathology (discrepancies), the following sensations can be distinguished:

• severe shootings in the pubic area, extending to the groin and lower part of the peritoneum (sometimes the lower back and upper thighs are involved in the process);
• inability to perform simple movements (climbing stairs, walking, getting out of bed, etc.);
• sound sensation of clicking when moving (intensifies while lifting the leg up);
• premature prolapse of the abdomen;
• pain on palpation of the pubic area and during intercourse.

As noted above, during pregnancy, a woman may notice premature prolapse of the abdomen. This is due to the fact that the bones diverge, and the baby begins to gradually move into the pelvic cavity.

Why is this happening

Because of what can the pubic symphysis diverge during pregnancy? Doctors speak of severalreasons for this condition. All of them can be divided into conditions that developed directly due to pregnancy, as well as pathologies that the future mother had earlier.

The main reason for the divergence of the pubic joint is recognized as hormonal changes. Immediately after fertilization and implantation of the cell into the uterine cavity, active production of progesterone begins. This hormone is essential for the normal development of the embryo. It has a relaxing effect on the uterus, preventing it from contracting. A similar effect is achieved in other organs and ligaments. Since the pubic symphysis is attached to the pelvic bones by ligaments, they can stretch.

Another reason for the development of pathology may be a lack of vitamins. Calcium becomes the main deficient substance. A large amount of this component is necessary for the formation of the fetus. However, if the expectant mother eats improperly or does not take vitamin complexes, the fetus begins to take calcium from her body. Bones, teeth, nails and hair are the first to suffer.

Vitamin D deficiency may also play a big role. If a woman in an interesting position receives the required amount of calcium, but at the same time there is not enough vitamin D in her body, then the substance is simply not absorbed. The consequence of this is the poor condition of the teeth, the fragility of nails and bones, including the pubic symphysis.

Corrective actions

How to treat pubic symphysis during pregnancy? In most cases, a womanno medications are prescribed. However, with severe pain, there is a need to take painkillers. These include Paracetamol. It is the safest during this period. Also in the second trimester, Nurofen or ibuprofen-based products can be used. However, such drugs can only be used on the recommendation of a specialist and after the diagnosis.

In case of pathology of the first degree, the expectant mother is advised to be careful in movement. When getting up from a bed or a chair, do not make sudden actions. When climbing stairs, first place one foot on the step, then transfer the other to the same place. Try to use elevators and walk less.

In especially difficult situations (in the second or third stage of pathology), a woman may be prescribed bed rest. This state is recommended to be maintained until the very birth. At the same time, drugs that relieve inflammation and relieve pain may be indicated.

Using a brace and corset

In the second half of pregnancy and before childbirth, doctors recommend wearing a bandage or a special corset. Such manipulations will help relieve pain and support the body of the uterus. It is worth noting that it is necessary to use such funds only after consulting a specialist. Support devices must be sized and worn only when lying down.

Doctors recommend wearing selected accessories for several days after giving birth. It is at these moments that the reverse development of pathology occurs. Supportive andslimming accessories will help improve the condition of the new mommy.

Delivery

With the development of pathology, a classical delivery is usually performed. At the same time, do not forget to inform the obstetricians about your condition. Doctors must take this into account in the process.

When it comes to the second or third stage of the discrepancy, a caesarean section may be chosen. When the ligaments are sprained and a distance of more than two centimeters is formed between the pelvic bones and the pubic articulation site, a planned caesarean section is performed. Otherwise, the ligaments may rupture and require emergency surgery.

Summarizing the article

You now know what the pubic symphysis is. A photo of this part of the human body is presented to your attention in the article. Often, expectant mothers attribute the symptoms that arise to malaise, fatigue, arthritis, threatened miscarriage, or neurological pathologies. However, the more you are inactive, the more difficult it will be to cope with the pathology in the future. Seek medical attention promptly. Take corrective and preventive actions. He alth and wellness to you!