At 33 weeks pregnant with symphysis pubis diastasis, can I have a vaginal birth?

Patient's question:

I started feeling stomach pain after 33 weeks of pregnancy. It wasn't false labor contractions. Whenever I exerted myself, I felt pain in my lower abdomen. Turning over in bed was particularly painful. After a week of pain, I went to the hospital for a check-up. The doctor said it might be symphysis pubis diastasis.

Doctor's answer:

Hello, if it is symphysis pubis diastasis, it is best not to have a vaginal delivery. When the diastasis is severe, vaginal delivery is not recommended, and cesarean section is advised. Generally, a cesarean section can only be performed after the fetus is mature. The typical gestational age for full term is between 38 and 42 weeks. The best time for a pregnant woman to choose a cesarean section is usually at 39 weeks of pregnancy. Specific details need to be analyzed based on the results of prenatal examinations, including the normal development of the fetus, the maturity of the placenta, and following the advice of clinical obstetricians.

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