Pubic malposition

The pubic symphysis is formed by the combination of two pubic fibrocartilage discs. A joint cavity is formed between the two cartilage discs. The upper, lower, left and right ligaments are connected like ropes.

In general, the pubic symphysis space in women is 4-5 mm. This cartilage space is partly composed of collagen and has elasticity, which means that the joints with cartilage attachment are more buffered and changeable. With the change of hormone level after pregnancy, the gap can be widened by 2-3 mm. Mild widening of the gap is beneficial to the smooth delivery of the fetus, but usually not more than 10 mm.

1.Pain around pubic symphysis, weight lifting and long walking time aggravated.

When the distance of pubic symphysis is widened by more than 10 mm or the upper and lower limbs are dislocated, there will be local pain and difficulty in lifting lower limbs, which is the separation of pubic symptoms, usually accompanied by a series of clinical symptoms.

The specific manifestations are pain in the pubic symphysis, which extends to the back and lower limbs, and aggravates when changing posture, such as standing, going up and down stairs, lifting heavy objects.

After the separation of pubic symphysis, the posterior sacroiliac joint will also relax, and the sacroiliac bear the gravity of the upper body to help normal walking, so after the separation of pubic symphysis, not only will there be pain, but also walking difficulties.

If the treatment of pubic symphysis separation is not timely, the long-term occurrence of pubic osteitis, pubic symphysis arthritis, sacroiliac arthritis, sacrococcygeal arthritis, etc., serious need for surgical treatment.

In addition, the separation of pubic symphysis is a major cause of postpartum buttock flabbiness. Unlike fat accumulation, the separation of pubic symphysis is a real "hard injury", which begins to accumulate during pregnancy, so the prevention of pubic symphysis separation should be advanced to pre-pregnancy.

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1. Weak congenital structure or abnormal development;

2. The fetus is too big, the fetal head is too high, the uterine contraction is too strong, etc.

3. Injury caused by strong pull during childbirth;

4. The secretion of relaxin during pregnancy helps to open the pelvis and prepare for vaginal delivery.

5. Water delivery

Some studies suggest that water delivery can increase the tension and elasticity of pelvic floor muscles, make joint ligaments relaxed and soft, help the fetus to pass through the birth canal smoothly, and reduce the occurrence of pubic symphysis separation after delivery.

At present, for mild to moderate pubic symphysis separation (pubic symphysis space < 25mm), conservative treatment is its main treatment measures, including bed immobilization, pelvic belt, analgesics, physical therapy, etc.

"Postpartum Care" Soft Skills Course in Taiwan

Course details:

Date: 12 school hours in 2 days from 16 to 17 April 2019 (Tuesday to Wednesday)

Time: 9.00am-17.30pm

Venue: Penang Hotel

Course fees:

Original price: RM2800, the first 30 are all special discount RM2500 (including handouts, certificates of completion, lunch and tea).

Deadline: 15/3/2019 or 40 persons (to maintain teaching quality)

Registration hotline:

Teacher Ye Huiyang: 18602592233

Mr. Wei: 13533607738

[Application Form for Ye Huiyang's Postpartum Maintenance Training Course] 16-17 April 2019 (Tuesday and Wednesday)

Chinese Name:

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ID number:

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E-mail:

Address:

Job: Traditional Chinese Medicine Doctor

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(Fill in the form and return it with the remittance documents)

Taiwanese Traditional Soft Handling Course Remittance Account:

China Construction Bank

Jinyu Basket Bay Foshan Branch

6217 0031 1002 2883 837

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