COMPARATIVE CHARACTERISTICS OF PREGNANCY-RELATED SYMPHYSIS PUBIS DYSFUNCTION
DOI:
https://doi.org/10.31082/1728-452X-2020-219-2220-9-10-34-38Keywords:
pubis dysfunction, pregnancy, deliveryAbstract
The problem of an acceptable choice of the method of delivery for symphysis pubis dysfunction is relevant in modern obstetrics. Since the incidence of this condition varies between 1 in 300 and 1 in 30,000 pregnancies. And such a large variation in the frequency of symphysis pubis dysfunction is explained by the lack of a clear terminology for this disease, pathogenesis, and uniform diagnostic criteria.
Purpose of the study. Analysis and comparative characteristics of pregnant women with pubis symphysis diastasis and clinical dysfunction of the pubis symphysis and without it.
Material and methods. A retrospective analysis of 1210 birth histories and exchange cards of pregnant women in the period from 2015 to 2019.
Results and discussion. In the group with clinical manifestations of pubic symphysis dysfunction, with overweight and obese of I, II, III degrees, as well as with diseases of the blood, cardiovascular system and endocrine disorders. And the group without clinical manifestations of pubic symphysis dysfunction consisted of multigravida with normal body weight.
Conclusions. Vaginal delivery preferred by method of delivery for pregnant women with or without clinical manifestations of pubic symphysis, associated with minimal risk of pubis symphysis rupture.
References
Chawla JJ, Arora D, Sandhu N, et al. Pubic symphysis diastasis: a case series and literature review. Oman Med J. 2017;32(6):510- 514. DOI: 10.5001/omj.2017.97
Gutke A, Boissonnault J, Brook G, Stuge B. The severity and impact of pelvic girdle pain and low-back pain in pregnancy: a multinational study. J Womens Health (Larchmt). 2018;27(4):510-517. DOI: 10.1089/jwh.2017.6342
Radzinsky VE. Akusherstvo. Rukovodstvo k prakticheskim zaniatiiam: uchebnoe posobie.Obstetrics [A guide to practical exercises: a study guide]. - 5th ed., rev. and add. M.: GEOTAR-Media; 2015. 728 p. ISBN 978-5-9704-3250-1
Mackenzie J, Murray E, Lusher J. Women's experiences of pregnancy related pelvic girdle pain: A systematic review. Midwifery. 2018;56:102-111. DOI: 10.1016/j.midw.2017.10.011
Yoo JJ, Ha Y-Ch, Lee Y-R, et al. Incidence and risk factors of symptomatic peripartum diastasis of pubic symphysis. J Korean Med Sci. 2014;29(2):281-286. DOI: 10.3346/jkms.2014.29.2.281
Elden H, Gutke A, Kjellby-Wendt G, et al. Predictors and consequences of long-term pregnancy-related pelvic girdle pain: a longitudinal follow-up study. BMC Musculoskelet Disord. 2016;17:276. DOI: 10.1186/s12891-016-1154-0.
Petrushin AL Pryalukhina AV. Pubic Symphysis Diastasis in Pregnancy and Delivery (Review). Travmatologiia i ortopediia Rossii = Traumatology and Orthopedics of Russia. 2018;24(3):145- 156 (In Russ.). DOI: 10.21823/2311-2905-2018-24-3-145-156
Noskova OV, Churilov AV, Sviridova VV, Litvinova EV. Features of the course of symphysiopathy during pregnancy. Vestnik gigieny i epidemiologii = Hygiene and Epidemiology Bulletin. 2020; 24(1):64-66 (In Russ.)
Kravtsova TG, Svyatova GS, Kyzdarbaeva LI. Sposob prognozirovaniia i diagnostiki sostoianiia lonnogo sochleneniia // Baza patentov Kazakhstana, Nomer innovatsionnogo patenta: 22313, 15.02.2010. [Method for predicting and diagnosing the state of the pubic symphysis // Patent base of Kazakhstan, Innovative patent number: 22313, 15.02.2010]
Galieva ZhT. Comparative analysis of echographic parameters of pubic symphysis in pregnant women. Vestnik KRSU = Vestnik KRSU. 2011;11(7): 67-69 (In Russ.)
