DOI: 10.36347/sjams.2017.v05i10.057

Pages: 4098-4101

Symphysis pubis diastasis is development of a gap of more than 10 mm between the two pubic bones. The reported incidence varies from 1 in 300 to 1 in 30,000 deliveries .Mild separation (up to 5 mm) of the symphysis pubis during pregnancy is considered physiological. Separation of more than 10 mm is usually associated with tenderness and difficulty with walking, and is thought to be pathological. Factors contributing to rupture of the symphysis pubis joint during vaginal delivery are poorly defined. It is thought to be caused by the fetal head exerting pressure on the pelvic ligaments, which have been weakened or relaxed by the hormones progesterone and relaxin. It can occur more commonly, if manual pressure is applied to the pelvis in a latero-lateral and antero-posterior direction. The McRoberts manoeuvre, which is generally safe, may result in pubic symphysis diastasis .A case of traumatic postpartum haemorrhage(PPH) with gross pubic bone diastasis is reported ,who presented in an emergency as traumatic PPH and severe soft tissue trauma to lower genital tract and pubic symphysis. Patient recovered completely without any residual morbidity following surgical fixation of joint.