Pubic symphysis. Divergence of pubic symphysis during pregnancy

During the period of bearing a child a woman may face various difficulties. Approximately half of all future mothers are worried about pubic symphysis. Unpleasant feelings can appear both at the very beginning of the term, and closer to childbirth. This article will tell you about what the divergence of the pubic symphysis in pregnancy. You will learn the features of the pathology and ways of diagnosing it.

What it is

The pubic symphysis is the so-called area that connects the lateral bones of the woman's pelvis . It is worth noting that this site is in the body of a man. The pubic symphysis is attached to the bones with the help of ligaments. Their stretching usually does not exceed five millimeters.

The described site is located above the penis in men and on top of the clitoris in women. Outwardly it resembles a trapezoid, turned by a smaller base down. The symphysis, or the lone articulation, has the structure of a cartilaginous disc. It can move freely under the influence of certain factors.

Variation of pubic symphysis

Most often in the normal state this body area 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, face the fact that there is a strong sprain. In this case, we are talking about the divergence of the pubic symphysis.

With a slight deviation from the norms, no correction is required. However, a strong increase in the lumen between the lump articulation and the pelvic bones leads to unpleasant symptoms. In especially difficult 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 ultrasound of the pubic symphysis. Also, the above-mentioned area can be examined using X-ray. However, during the gestation period, this method is not used. There are several stages of pathology.

• The first degree of divergence. 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, future mothers have this particular form of divergence articulation.
• The second stage. At this stage, the length of the ligaments is stretched to two centimeters. Thus the woman already strongly enough feels unpleasant signs. Doctors are advised to apply for the second degree of discrepancy.
• Third degree. With the removal of bones from the pelvic bases more than two centimeters it is a question of the third stage of pathology. It is worth noting that the symptoms in this case become very pronounced. Sometimes a woman simply can not move normally.

In addition to the information obtained by ultrasound diagnosis or X-ray, the doctor necessarily takes into account the patient's complaints. Sometimes it happens that the symptomatology is very pronounced, whereas the discrepancy does not exceed one centimeter.

Symptoms of discrepancy in the lone articulation

The rupture of the pubic symphysis is always accompanied by intolerable pain. With the development of such a complication, a person simply can not move independently. However, among the symptoms of the onset of pathology (divergence), the following sensations can be distinguished:

• Strong lumbago in the pubic region, giving in the groin and the lower part of the peritoneum (sometimes the loin and upper thighs are involved in the process);
• Impossibility to perform simple movements (climbing stairs, walking, lifting from a bed and so on);
• Audible click sensation during movement (increases during raising of the leg upwards);
• Premature abdomination of the abdomen;
• Pain during palpation of the pubic area and during sexual intercourse.

As already noted above, during pregnancy a woman can note premature abdominal depression. This is due to the fact that the bones diverge, and the baby begins to gradually move into the cavity of the small pelvis.

Why is this happening

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

The main reason for the discrepancy of the pubic joint is hormonal reconstruction. Immediately after fertilization and implantation of cells into the uterine cavity, active progesterone production begins. This hormone is necessary for the normal development of the embryo. It has a relaxing effect on the uterus, not allowing it to contract. A similar effect is achieved in other organs and ligaments. Since the pubic symphysis is attached to the pelvic bones with the help of ligaments, they can stretch.

Another reason for the development of pathology may be a lack of vitamins. The main deficient substance is calcium. To form a fetus, a large amount of this component is needed. However, if the future mother feeds incorrectly or does not take vitamin complexes, the fetus starts taking calcium from her body. First of all, bones, teeth, nails and hair suffer from this.

Lack of vitamin D can also play a big role. If a woman in an interesting position gets the right amount of calcium, but her body lacks vitamin D, then the substance is simply not digested. A consequence of this is a poor state of the teeth, the fragility of the nails and bones, including the pubic symphysis.

Corrective measures

How to treat pubic symphysis during pregnancy? In most cases, no medicines are prescribed for a woman. However, with strong pain, there is a need to take pain medication. To such it is possible to carry «Paracetamol». He is the safest in this period. Also in the second trimester, Nurofen or ibuprofen-based drugs can be used. However, these drugs can be used only on the advice of a specialist and after the diagnosis.

With pathology of the first degree, the future mother is advised to exercise caution in movement. Getting up from a bed or a chair, do not commit harsh actions. When climbing the stairs, first put one foot on the step, then carry the second one there. Try to use elevators and walk less .

In particularly difficult situations (in the second or third stage of pathology), a woman can be prescribed a bed rest. It is recommended to save this condition until the very birth. At the same time can be shown drugs that relieve inflammation and relieve pain.

Using the bandage and corset

In the second half of pregnancy and before birth, 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 you need to use such funds only after consulting a specialist. Supporting devices should be matched to fit and put on only when lying down.

Physicians recommend wearing the selected accessories and a few days after delivery. It is in these moments that the reverse development of pathology occurs. Supporting and pulling accessories will help improve the condition of the newly mummy.

Delivery

With the development of pathology, the classic delivery is usually performed. Do not forget to tell midwives about your condition. Physicians must take this into account in the process.

When it comes to the second or third stage of divergence, a caesarean section can be chosen. When stretching the ligaments and forming a distance of more than two centimeters between the pelvic bones and the pubic articulation site, a planned cesarean section is performed . Otherwise, ligament rupture may occur, and emergency surgical intervention will be required.

Summing up the article

You now know what a pubic symphysis is. Photo of this site of the human body is presented to your attention in the article. Often, future moms write off the symptoms that appear on malaise, fatigue, arthritis, the threat of abortion or neurological pathologies. However, the more you dormant, the harder it will be to cope with the pathology in the future. Address to physicians in a timely manner. Carry out corrective and preventive measures. I wish you health and well-being!