Please help a student nurse!

Nurses General Nursing

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Hi all,

I have just started my OB rotation in my ADN program. I have a patient that I'm having to write a paper on and I can't seem to find information about her particular problem that she is having. She had her baby the other day and now the doctor suspects that she has a separation of the symphysis pubis (a rare complication in childbirth). :confused: Does anyone know of a place I can get journal articles from online? I live in the middle of nowhere, my college and county libraries are USELESS, and I need 5 reputable sources for this project. :o This problem isn't even mentioned in my Maternity nursing textbook - I'm afraid that this problem is so rare that there hasn't been much written on it!

Any information (and support :) )is greatly appreciated. Thank you!

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Hey. I believe you can get stuff online. Try MedLine, I'm not sure of how to access it. However, I've seen people on this bb mention that you can access it from your home computer, but there may be a fee involved. You can also try CINAHL (sp?) at your library, no matter how small and inadeqate it may appear it may still have CINAHL and Medline access.

I don't know of any articles on this personally, and to be quite honest, I'd never even heard of it happening (I'm an L&D nurse) until your post. If you find any good info, would you mind posting links to it in the OB nursing section? I'd be really interested in reading about it.

Good luck. Hope this has been somewhat helpful...

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Hope this helps, I was a radiology technologist prior to nursing.

As you know the symphysis pubis is in the lower portion of the pelvis. Seperation is more common with blunt trauma ie. MVA, falls, etc. I suspect the frog leg postion of child birth contributes to this seperation. We often see it with falls, when the patients legs split, often associated with hip fractures or (hip socket) acetabulem fractures. I do not necessarily associate it with birth trauma. However your doctor may identify this as the cause of her pain as a suggested answer to focused pinpoint pain in this area.

Research general pelvis trauma rather than birth trauma and you will probably find some information related to this area. Once you understand symphysis pubis seperation do to trauma, you may assoicate its relationship to birthing. Talk with your radiology department and Radiologist, they can problably lead you in the right direction for your search.

Hope this helps.

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Specializes in ER CCU MICU SICU LTC/SNF.

LOL. How many times did you post this? :D

Any how, try these sites (tons of info)...

http://www.google.com/search?q=symphysis+pubis+separation&btnG=Google+Search

http://www.mamma.com/Mamma?query=symphysis+pubis+separation&qtype=0&x=26&y=15l

______________ ;)

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Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

Permission from Brian to treat this as the allnurses discussion and homework help forum?

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