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A 27-year-old, 45-kg primigravid woman presented in early labor at 40 weeks' gestation. Six hours into her labor, an urgent vacuum-assisted vaginal delivery was performed because of fetal bradycardia. A healthy 3010-g male infant was delivered, with Apgar scores of 9 and 9 at one and five minutes, respectively. Immediately after delivery the patient reported anterior pelvic pain and was unable to move from the table. An anteroposterior radiograph of her pelvis was obtained while she lay on the delivery table and revealed a 5-cm diastasis of the pubic symphysis (Panel A). Because the sacroiliac joints were not disrupted and . . . [Full Text of this Article] |
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