In a report by Graf et al, (9) a multiparous patient who experienced shoulder dystocia managed by Mc Roberts maneuver and suprasymphysial pressure developed symphysial
separation of 60 mm and was treated with open reduction and internal fixation with good clinical outcome.
the distance from the anterior superior iliac spine to the superior end of the symphysial
surface (ASISSS), (2) The distance from the anterior superior iliac spine to the pubic tubercle (ASIS-PT) (3) The maximum width of the anterior interspinous notch, i.e.
treatment of several kinds of antiviral drugs could reduce the resistance to hepatitis B virus.15 The safety of long term treatment with Entecavir cannot be ignored, such as its carcinogenicity, which need to be studied further.16