A case–control study of clinical characteristics and risk factors of symptomatic postpartum pubic symphysis diastasis

Abstract Postpartum pubic symphysis diastasis (PPSD) refers to the separation of pubic symphysis after delivery. It is typically diagnosed based on clinical symptoms and radiologic findings. This study tried to assess clinical characteristics and risk factors of PPSD. This was a nested case–control...

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Autores principales:	Ji-Hee Sung, Mina Kang, Seung-Jae Lim, Suk-Joo Choi, Soo-young Oh, Cheong-Rae Roh
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d1986b8b97a64ee980128c0d299c3f1a
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spelling	oai:doaj.org-article:d1986b8b97a64ee980128c0d299c3f1a2021-12-02T12:14:50ZA case–control study of clinical characteristics and risk factors of symptomatic postpartum pubic symphysis diastasis10.1038/s41598-021-82835-82045-2322https://doaj.org/article/d1986b8b97a64ee980128c0d299c3f1a2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82835-8https://doaj.org/toc/2045-2322Abstract Postpartum pubic symphysis diastasis (PPSD) refers to the separation of pubic symphysis after delivery. It is typically diagnosed based on clinical symptoms and radiologic findings. This study tried to assess clinical characteristics and risk factors of PPSD. This was a nested case–control study matched for year of delivery and gestational age at delivery using a retrospective cohort of women who delivered vaginally at a single institution. The incidence of PPSD was 0.156% (33/21,131). The incidence rate increased from 0.08% (7/9328) in 2000–2004 to 0.13% (9/7138) in 2005–2009 and to 0.36% (17/4665) in 2010–2016, simultaneously with an increase of maternal age (30.7 ± 3.5 years in 2000–2004 to 31.8 ± 3.8 years in 2005–2009 and 32.8 ± 3.8 years in 2010–2016). Nulliparity was associated with a higher incidence of PPSD (81.8% in cases vs. 57.6% in controls, p = 0.01). Other factors including pre-pregnancy body mass index, weight gain during pregnancy, gestational diabetes, induction of labor, duration of labor, epidural anesthesia, vacuum-assisted delivery, episiotomy, neonatal sex and birth weight failed to show difference between the two groups. In short, the incidence of PPSD increased with time along with an increase of maternal age. Nulliparity was the only significant risk factor for PPSD.Ji-Hee SungMina KangSeung-Jae LimSuk-Joo ChoiSoo-young OhCheong-Rae RohNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ji-Hee Sung Mina Kang Seung-Jae Lim Suk-Joo Choi Soo-young Oh Cheong-Rae Roh A case–control study of clinical characteristics and risk factors of symptomatic postpartum pubic symphysis diastasis
description	Abstract Postpartum pubic symphysis diastasis (PPSD) refers to the separation of pubic symphysis after delivery. It is typically diagnosed based on clinical symptoms and radiologic findings. This study tried to assess clinical characteristics and risk factors of PPSD. This was a nested case–control study matched for year of delivery and gestational age at delivery using a retrospective cohort of women who delivered vaginally at a single institution. The incidence of PPSD was 0.156% (33/21,131). The incidence rate increased from 0.08% (7/9328) in 2000–2004 to 0.13% (9/7138) in 2005–2009 and to 0.36% (17/4665) in 2010–2016, simultaneously with an increase of maternal age (30.7 ± 3.5 years in 2000–2004 to 31.8 ± 3.8 years in 2005–2009 and 32.8 ± 3.8 years in 2010–2016). Nulliparity was associated with a higher incidence of PPSD (81.8% in cases vs. 57.6% in controls, p = 0.01). Other factors including pre-pregnancy body mass index, weight gain during pregnancy, gestational diabetes, induction of labor, duration of labor, epidural anesthesia, vacuum-assisted delivery, episiotomy, neonatal sex and birth weight failed to show difference between the two groups. In short, the incidence of PPSD increased with time along with an increase of maternal age. Nulliparity was the only significant risk factor for PPSD.
format	article
author	Ji-Hee Sung Mina Kang Seung-Jae Lim Suk-Joo Choi Soo-young Oh Cheong-Rae Roh
author_facet	Ji-Hee Sung Mina Kang Seung-Jae Lim Suk-Joo Choi Soo-young Oh Cheong-Rae Roh
author_sort	Ji-Hee Sung
title	A case–control study of clinical characteristics and risk factors of symptomatic postpartum pubic symphysis diastasis
title_short	A case–control study of clinical characteristics and risk factors of symptomatic postpartum pubic symphysis diastasis
title_full	A case–control study of clinical characteristics and risk factors of symptomatic postpartum pubic symphysis diastasis
title_fullStr	A case–control study of clinical characteristics and risk factors of symptomatic postpartum pubic symphysis diastasis
title_full_unstemmed	A case–control study of clinical characteristics and risk factors of symptomatic postpartum pubic symphysis diastasis
title_sort	case–control study of clinical characteristics and risk factors of symptomatic postpartum pubic symphysis diastasis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/d1986b8b97a64ee980128c0d299c3f1a
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A case–control study of clinical characteristics and risk factors of symptomatic postpartum pubic symphysis diastasis

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