(O26.7) Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium

Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium is caused by the stretching and weakening of the ligaments that hold the pubic symphysis together. during pregnancy, the hormone relaxin is released which causes the ligaments to become more lax and stretch, making them more vulnerable to injury. during childbirth, the excessive strain placed on the ligaments can cause them to tear, resulting in the symphysis becoming partially dislocated. this is often accompanied by pain in the area, and can be exacerbated during the puerperium as the ligaments continue to stretch.

Subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium is a condition in which the symphysis pubis joint becomes partially dislocated due to increased laxity of the ligaments and muscles in the pelvic area during pregnancy, labor and delivery. this can be caused by the increased weight of the baby, the stretching of the pelvic ligaments and the increased hormone levels during pregnancy. during delivery, the force of the baby's head pushing against the pelvic area can further increase the laxity of the ligaments and muscles, resulting in the joint partially dislocating. after delivery, the laxity of the ligaments and muscles can remain, causing persistent subluxation of the symphysis pubis joint.

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Main goal of the treatment: To reduce the pain and discomfort associated with subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium.

• Physical therapy to strengthen the pelvic floor muscles
• Use of a pelvic support belt or other supportive devices
• Application of cold or heat therapy
• Medication to reduce inflammation and pain
• Manual therapy to manipulate the affected joint
• Education on proper body mechanics and posture
• Rest and avoidance of activities that aggravate the condition
• Exercises to improve flexibility and strength

The prevention of subluxation of symphysis (pubis) in pregnancy, childbirth and the puerperium can be achieved through regular antenatal care, including pelvic floor exercises, proper nutrition, and the avoidance of heavy lifting and strenuous activity. additionally, proper positioning during childbirth and the use of appropriate delivery techniques can help to reduce the risk of subluxation.