THE IMPORTANCE OF PUBIC PAIN FOLLOWING CHILDBIRTH - A CLINICAL AND ULTRASONOGRAPHIC STUDY OF DIASTASIS OF THE PUBIC SYMPHYSIS

This study aimed to investigate the diagnosis and consequences of pubi c symphysis diastasis postpartum, in particular the use of ultrasonogr aphy to measure interpubic gap. It was a prospective follow-up study, which included an ultrasonographic comparison between symptomatic moth ers and controls, set in Morriston Hospital, Swansea. Nine women prese nting with unusual pubic pain post-partum were included: there were no exclusion criteria. Forty-two controls were also studied: the only ex clusion criterion was unusual pubic pain. Interpubic gap was measured with ultrasonography. Follow up was undertaken for a median of 37 mont hs (range 2-57). An abnormal interpubic gap was found in all symptomat ic women. The incidence of diastasis was found to be at least one in 8 00 deliveries and significant long-term disability was found in three women. Diastasis is commoner than generally acknowledged and its conse quences may be severe. Interpubic gap confirms diagnosis but does not appear to predict outcome. Ultrasonography aids diagnosis and follow u p.