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Can you get pregnant with a broken pelvis?

Published in Pregnancy & Injury 2 mins read

Yes, it is possible to get pregnant with a broken pelvis.

While a broken pelvis can present significant challenges and potential complications for pregnancy and childbirth, it doesn't inherently prevent conception. The primary concerns revolve around the healing process, potential pain management, and the ability to carry a pregnancy to term and deliver safely.

Here's a more detailed breakdown:

  • Conception: A broken pelvis primarily affects the skeletal structure. It does not directly impact the reproductive organs' ability to function, meaning ovulation and fertilization can still occur.

  • Pregnancy Risks: A broken pelvis can introduce risks during pregnancy:

    • Pain: Pregnancy puts additional stress on the pelvic region, potentially exacerbating pain from a previous fracture.
    • Mobility Issues: A broken pelvis can significantly restrict mobility, making it difficult to manage the physical demands of pregnancy.
    • Delivery Complications: The fracture may affect the pelvic canal's shape and size, potentially leading to complications during vaginal delivery.
  • Delivery Options: Vaginal delivery may be possible, but a Cesarean section might be recommended depending on the severity and location of the fracture, any surgical fixation that was performed (such as with screws), and the overall stability of the pelvis. According to one study, 10 women delivered vaginally after a pelvic fracture, and 40% of those required surgical fixation.

  • Important Considerations: If you have a broken pelvis and are considering pregnancy, it is crucial to consult with a team of medical professionals:

    • Orthopedic Surgeon: To assess the healing and stability of the fracture.
    • Obstetrician: To evaluate the potential risks to pregnancy and delivery and create a safe management plan.
    • Pain Management Specialist: To develop strategies for managing pain during pregnancy.

In conclusion, while a broken pelvis introduces potential risks and challenges, it does not necessarily preclude pregnancy. Careful planning, medical supervision, and appropriate management can help women with a history of pelvic fracture have successful pregnancies.

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