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Symphysis pubis dysfunction: a practical approach to management

Department of Obstetrics and Gynaecology, St Mary's Hospital, Milton Road, Portsmouth, PO3 6AD, UK E-mail: jainsmita{at}hotmail.com (corresponding author)

Padma Eedarapalli, MD MRCOG, Consultant Obstetrician and Gynaecologist

Department of Obstetrics and Gynaecology, Royal Bournemouth Hospital and Christchurch Foundation Trust, Castle Lane East, Bournemouth, BH7 7 DW, UK

Pradumna Jamjute, MD MRCOG, Specialist Registrar

Department of Obstetrics and Gynaecology, Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury, SY3 8XQ, UK

Robert Sawdy, BSc PhD MRCOG, Consultant Obstetrician and Gynaecologist

Poole Hospital NHS Trust, Longfleet Road, Poole, BH15 2JB, UK

Symphysis pubis dysfunction is a relatively common and debilitating condition affecting pregnant women. It is painful and can have a significant impact on quality of life, which can lead to potentially serious complications such as depression. Effective management remains difficult to determine because of a variation in reported occurrence rates and symptomatology. There is little published assessment of treatments and no standardised management protocols are available. This article describes recent developments and discusses the controversies surrounding its treatment. With an improved knowledge of the condition and incorporation of the recommendations in this article it is hoped that healthcare professionals will be able to reduce the severity of the symptoms in those women affected.

Keywords pelvic pain / physiotherapy / pregnancy / pubic bone / symphysis pubis dysfunction