Pregnancy is truly wonderful for every woman, because the feeling of impending motherhood fundamentally changes the life of a future mother for the better. Pregnancy and childbirth is accompanied by natural changes in the female body, which can cause pain and discomfort. For example, a woman may get an area of the pubic bone. This may be a symptom of symphysitis.
Symphysitis is an inflammation of the joint that connects the pubic bones of the pelvis. Normally, during pregnancy, the pelvic bones should diverge, but no more than 5-6 mm. This mobility ensures the safe advancement of the fetus in the process of labor, and also facilitates the state of the mother during childbirth.
Causes and consequences
Pathological discrepancy may be due to:
- Lack of calcium before and during pregnancy;
- A history of sacral injuries;
- Severe toxicosis or gestosis;
- Hormonal disorders in the body of a woman.
The pubic bone can also bother a woman not only after childbirth, but also during pregnancy. It is important to choose the right method of delivery of a woman with symphysitis – in severe cases it is safer for both the mother and the child to have a cesarean section.
Symptoms and Diagnosis
Symphysitis in the early stages is manifested by characteristic symptoms: soreness when pressing on the pubis, then pains when walking, attempts to get up or sit down join. Visible changes are visible – there is a swelling, redness in the pubic area. If a woman has a sore pubic bone after childbirth, she should immediately consult a gynecologist to examine and prescribe adequate treatment.
During pregnancy, pathological changes are clearly visible during examination with ultrasound during the next examination of the fetus. For the diagnosis of symphysitis, ultrasound is used, a study using a CT scan and MRI.
Treatment of postpartum symphysitis
The main principle of treating symphysitis is a medical – protective regimen. A woman should limit physical activity, and in severe cases – bed rest, wear a special bandage and sleep on an orthopedic mattress. In the treatment of symphysitis, drugs with the content of vitamin B, calcium, magnesium and painkillers are widely used. In the case of the development of urogenital infection, antibacterial drugs are prescribed.
Physiotherapy gives good results: UV – irradiation, electrophoresis and UHF. In severe cases of the disease, surgical intervention is necessary, during which the surgeon sews the torn ligaments or establishes metal structures at the place of divergence of the pelvic bones.
A disease is always easier to prevent than to treat. A good prevention of symphysitis after childbirth is a dosed load in the form of gymnastics, as well as swimming in the pool during pregnancy.
A healthy lifestyle, proper nutrition, adequate physical activity will help a woman avoid many problems during pregnancy, at the time of delivery and in the postpartum period.