SPD the study by Royal College of Midwives-Evidence-Based Midwifery, Sept, 2007 by Vanda K. Wellock, Margaret A. Crichton!
"Background.
Symphysis pubis dysfunction (SPD) is an abnormal stretching of the pubic joint in pregnancy, which causes distress and pain during and after pregnancy. Measures of its incidence varies widely, and most research has focused on identifying causes. Among healthcare professionals, there is evidence of low levels of awareness of SPD and a lack of sympathy toward women with it.
Aim.
To explore women's experiences of SPD during pregnancy and up to six weeks postpartum, with particular reference to pain.
Method.
A qualitative, phenomenological approach was used in conducting semi-structured interviews in a large maternity hospital in the north-west of England. A total of 28 women were interviewed during pregnancy and six weeks postpartum (51 interviews).
Findings.
The dominant theme to emerge was the women's experiences of pain. Pain was described in compelling language, and some women overdosed themselves on analgesics. Pain was sometimes accompanied by sounds that were audible to others. Living with SPD was problematic in every case, and recommended management for the relief of pain brought little benefit to the women. Most women found coping difficult, felt a burden to family and friends and in some instances feared for their mental health.
Conclusions.
SPD can have a devastating effect on women. Midwives and other healthcare professionals have a duty to take the condition seriously. More research is needed to ascertain cause, to identify more effective pain relief, and most importantly to raise awareness of SPD and increase information and support."
