ArticleInternational journal of women's health2025
Dynamic Changes in Pubic Symphysis and Superior Pubic Ligament During Pregnancy: A Study Using Ultrasound Shear-Wave Elastography.
Article in International journal of women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: This study aimed to analyze the morphology and elasticity of the pubic symphysis and superior pubic ligament during pregnancy using high-frequency ultrasound and shear-wave elastography, providing anatomical insights into pregnancy-related pelvic adaptations. Patients and Methods: A retrospective analysis included 202 participants, categorized into non-pregnant, first, second, and third trimester, and postpartum groups. Ultrasound and shear-wave elastography were employed to measure pubic symphysis width, superior pubic ligament length, thickness, and elasticity. Statistical comparisons were performed using one-way ANOVA and Tukey's post-hoc tests. Results: Pubic symphysis width increased significantly from the second trimester (5.54 ± 1.24 mm) to peak in the third trimester (6.40 ± 2.06 mm, Conclusion: This study is the first to evaluate dynamic morphological and elastic changes in the pubic symphysis and superior pubic ligament using high-frequency ultrasound and shear-wave elastography. The findings provide critical insights into pelvic adaptations during pregnancy and postpartum, offering valuable anatomical references for the clinical management of pregnancy-associated pelvic discomfort and dysfunction.
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