POSTPARTUM PUBIC DIASTASIS: A RARE CASE REPORT

Abstract

This case report aims to document the complication of unattended normal vaginal delivery and management of postpartum pubic diastasis in a 20-year-old primigravida following an outside peripheral hospital delivery. Pubic diastasis, although rare, can lead to significant morbidity if not promptly identified and managed. The patient presented with a paraurethral tear and significant pubic diastasis, which were successfully managed through   surgical repair of defect and conservative measures. Thorough clinical examination, laboratory investigations, and radiographic imaging were employed to assess the extent of the injury and guide management. The patient responded well to conservative management, with symptomatic improvement and resolution of pubic diastasis observed upon discharge. This case underscores the importance of institutional deliveries in preventing maternal morbidity and highlights the effectiveness of a multidisciplinary approach in managing complex obstetric complications. Comprehensive reporting of such cases is essential for improving maternal healthcare practices and outcomes.