Post partum acute pelvic girdle pain followed uneventful delivery

Abstract EN

Over 15 years we recorded and followed prospectively a (34) cases presented with acute postpartum pelvic pain at rehabilitation unit of merjan teaching hospital.

(29) cases had got uneventful vaginal delivery with cephalic presentations A (5) cases had got uncomplicated standard cesarean section .each moms delivered single viable baby.

The cases were selected to have acute pelvic girdle pain that occurred suddenly at second postpartum day or days then after i.e.

all case did not experienced such pain immediately (peripartum).

A (25) cases presented with pelvic girdle syndrome(pubic separation with both sacroiliac joints involvement), (7) cases presented with unilateral sacroiliac joint involvement.

A (2) cases presented with unilateral sacroiliac joint pain with elevated inflammatory markers in form of elevated erythrocyte sedimentation rate and leukocytosis .Conservative treatment approach was adopted for each woman, included, bed rest, pelvic binder ,ambulation with graded weight bearing.

Pelvic girdle syndrome carry worse prognosis.

Postpartum acute pelvic pain can occur any time in post partum days and not necessary occurring intra partum.

Early rehabilitation is highly essential to stabilize the pelvis and to avoid undue mechanical stress in this critical period .