A rare case of accidental symphysiotomy (syphysis pubis fracture) during vaginal delivery

A 25 year old female was referred to C. U. Shah Medical College and Hospital on her 1^st post-partum day for post partum hemorrhage and associated widening of pubic symphysis 1 hour after delivering a healthy male child weighing 2.7 with complaints of bleeding per vaginum. Uterus was well contracted & widening of pubic symphysis was noted on local examination. Exploration followed by paraurethral and vaginal wall tear repair was done under short GA. X-Ray pelvis revealed fracture of pubic symphysis and hence post procedure patient was given complete bed rest along with pelvic binder under adequate antibiotic coverage. Patient took discharge against medical advice on post-partum day 10. Patient was discharged on hematinics and advised to take complete bed rest and use pelvic binder for 30 days.