Pregnancy symphysis pubis diastasis, how to choose the mode of delivery

Patient's question:

Pregnancy-related symphysis pubis diastasis, what delivery method should I choose? I am currently 36 weeks pregnant. Since week 35, I've been experiencing pain in my pubic area. At first, it wasn't noticeable, but in recent days, even walking has become painful, and turning over in bed is very difficult. The doctor diagnosed it as symphysis pubis diastasis. The baby hasn't engaged yet, and I'm wondering if it will hurt even more once the baby does. Also, should I consider a cesarean section in this condition? Thank you!

Doctor's answer:

Hello; if it gets worse at 38 weeks, a C-section will be necessary. The final decision will depend on the situation later. Advice: It is recommended to place a pillow between your legs while sleeping and try to dress while sitting. If there is severe symphysis pubis diastasis accompanied by very intense pain, a C-section may be required. Generally, natural birth is still the primary option. Doctor's inquiry:

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