How to determine if it is a sacroiliac joint separation, at 38 weeks pregnant

Patient's question:

How to determine if it's a pubic symphysis diastasis? At 38 weeks, I have pain in the groin and lower abdomen. Can't have a vaginal birth with pubic symphysis diastasis? My first child was born vaginally.

Doctor's answer:

Generally, it is difficult to diagnose pubic symphysis diastasis in clinical practice. This is because, in addition to clinical manifestations, diagnosis often relies heavily on imaging studies.
Medical Advice: If the first child was delivered normally, the second child can also be delivered normally. In clinical practice, pubic symphysis diastasis is often diagnosed based on clinical manifestations and physical examination. Therefore, it is recommended to visit a hospital and consult a doctor for evaluation to determine whether it should be considered pubic symphysis diastasis. If it is confirmed, the first choice for terminating the pregnancy would still be a cesarean section.

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