A pregnant patient slipped and fell on an icy sidewalk a few weeks ago. During labor, the patient is experiencing extreme pain at the region of the symphysis pubis. What should be done to help this patient?

Question

Quizplus · Accepted Answer

The laxness of body cartilage may cause separation of the symphysis pubis if a pregnant patient falls with the legs outspread. A suture separation this way is very painful, especially on walking or turning. If separation of the symphysis pubis is still present at the time of birth, this can make labor very painful, especially during the pelvic division of labor as the fetus is pushed through the pelvic ring. The patient may need additional analgesia at this time. Elevating the legs, positioning on the side, or applying heat to the region will not help with the pain from the injury.

A Pregnant Patient Slipped and Fell on an Icy Sidewalk