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Beckenringinstabilität

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Definition:
Hierbei handelt es sich um Schmerzen im Becken, die während der Schwangerschaft oder direkt nach der Geburt auftreten.
Häufigkeit:
Beckenschmerzen erleben 15–20 % aller Schwangeren.
Symptome:
Dabei treten Schmerzen über dem Iliosakralgelenk (ISG) und der Symphyse bei Belastung, beim Gehen oder bei Positionsänderungen auf. Sie beginnen häufig um den 5.–8. Monat.
Befunde:
Der Gang ist oft watschelnd und vorsichtig. Es bestehen Druckschmerzen über der Symphyse und dem ISG.
Diagnose:
Weitere Untersuchungen sind nicht erforderlich.
Behandlung:
Die Bewegung des betroffenen Gelenks muss reduziert werden, um die Beschwerden zu lindern. Eventuell Physiotherapie, ggf. Beckengurt- oder korsett. Nach der Geburt sind stabilisierende Übungen wirksam, Operationa las ultimo ratio.
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  • Julia Trifyllis, Dr. med., Fachärztin für Gynäkologie und Geburtshilfe, Münster/W
  • Trine Hessevik Paulsen, Allgemeine und Redaktionsmitarbeiterin bei NEL
  • Per Bergsjø, Professor em., Dr. med., Universitetet i Bergen. Facharzt für Frauen- und Geburtsheilkunde, forsker ved Nasjonalt folkehelseinstitutt, Oslo