Partial Symphysis Pubis Separation

I had partial symphysis pubis separation with the birth of my daughter 1 year ago. My memory of that pain is worse than my memory of my labor pains. I'm pregnant again and want to know if there is anything I can do to prevent or lessen the chances of this happening again. Surprisingly, I've found no information on this condition in any of my pregnancy books. Is it that rare?

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Peg Plumbo CNM

Peg Plumbo has been a certified nurse-midwife (CNM) since 1976. She has assisted at over 1,000 births and currently teaches in the... Read more

This is not a common complication of pregnancy and labor although some softening of the connecting ligaments and supporting muscles occurs in all pregnancies.

This is one indication for an epidural in labor, as the pain can become quite severe but it can persist postpartum and take several weeks to subside. Some people recommend an abdominal binder to support the weakened joint. Assuming a type of squatting position in labor exaggerates the separation and a side lying with the legs tucked up would seem to be the most supportive to the area.

I would recommend the book Essential Exercises for the Childbearing Year by Elizabeth Noble who is a physical therapist. Seeing a PT during the pregnancy would be a good thing to do if you can get a referral.

This may not happen again with this pregnancy. I wish you the best.

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