Abstract:

Pubic symphysis separation is a rare complication after delivery, and severe obstetric traumatic pubic symphysis separation is even more rare. A case of perineal laceration caused by separation of pubic symphysis after vaginal delivery was retrospectively analyzed. The patient had severe laceration and avulsion of perineum, which reached to the right fornix, up to the pubic symphysis and anterior pelvic wall, the lower part of pubic symphysis was empty, and the separation of pubic symphysis was 78.37 mm. The patient could not change her body position. Considering the perineal laceration caused by severe obstetric traumatic pubic symphysis separation, the patients should be treated with reduction and internal fixation of pubic symphysis + vaginal examination + perineal laceration repair + cystoscopy under general anesthesia. The patients can be helped out of bed at 6 weeks postpartum. For severe obstetric traumatic pubic symphysis separation, reduction and internal fixation can quickly restore the anatomical of pelvis structure and promote rehabilitation.

Key words: Pubic symphysis diastasis, Postpartum period, Obstetric labor complications, Perineum, Universal precautions, Case reports