Pubic Fracture & Childbirth: Risks & Natural Delivery Possibilities

Question
Hello I was diagnosed a few months ago with a pubic ramus stress fracture and was wondering if I can have a natural childbirth or what are my chances of getting hurt worse or should i have a c section

Answer
Crystal,

Without more information, it's difficult to say.  Much will depend on the location of the fracture (anterior/posterior) and whether it is displaced.  A displaced fracture typically requires surgical realignment.


A natural birth may still be possible.  The main thing you'd need to remember would be to use effective birth positions which don't strain the pubic symphysis.  I'd recommend sidelying as your best option for eliminating pressure and strain on the pelvic girdle which could displace your fracture if it has not fully healed.


To learn more about effective birth positions, visit http://www.givingbirthnaturally.com/birth-positions.html and for specific information on sidelying, visit http://www.givingbirthnaturally.com/side-lying.html



Best,
Catherine