• Michele R. Davidson ADN, BSN, CNM

  • Michele R. Davidson holds an ADN from Marymount University in Arlington, Virginia, a BSN from George Mason University in Fairfax, Virginia, and an MSN in nurse midwifery from Case Western Reserve University in Cleveland, Ohio. She is currently a doctoral student at George Mason University pursuing a PhD in Nursing. She is employed at Columbia Hospital for Women as a Certified Nurse Midwife, providing prenatal and gynecology services to indigent women. She is a member of the American College of Nurse Midwives.


Separated symphysis pubis (SSP) is a rare condition that results in a separation of the symphysis pubis bone in late pregnancy or during delivery and occurs in otherwise healthy pregnancies as a result of hormonal and/or biomechanical factors. Several researchers have examined the issue in the Scandinavian countries, where it appears to be more prevalent possibly due to a genetic link. Symptoms range from mild discomfort to total debilitation. Differential diagnosis includes exclusion of more serious medical conditions. The nurse midwife's role is prompt diagnosis, medical consultation, support, and education.