Diastasis of the rectus abdominis muscles in postpartum: Concordance of patient and clinician evaluations, prevalence, associated pelvic floor symptoms and quality of life

Cardaillac, Claire; Vieillefosse, Sarah; Oppenheimer, Anne; Joueidi, Yolaine; Thubert, Thibault; Deffieux, X.

doi:10.1016/j.ejogrb.2020.06.038

Cited by 22 publications

(22 citation statements)

References 17 publications

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“…It can also cause functions such as forward flexion, lateral flexion, and spine rotation [ 1 ]. Diastasis recti abdominis (DRA) is a traumatic disease characterized by the separation of two rectus abdominis along the linea alba of the abdomen [ 2 ], mainly the sequelae of pregnancy [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Ultrasonic Characteristics of Diastasis Recti Abdominis in Early Postpartum

Liu

Ran²,

Dong³

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. Explore the ultrasound characteristics of early postpartum Diastasis Recti Abdominis (DRA) and provide effective data support for its clinical diagnosis and treatment. Method. A total of 458 parturients who were diagnosed with DRA in the Chongqing Maternal and Child Health Hospital from December 2017 to September 2020 underwent postpartum ultrasound examinations. All of which were located at four points: 6 cm above the umbilicus (point 1), 3 cm above the umbilicus (point 2), umbilicus (point 3), and 3 cm below the umbilicus (point 4) to detect the interrectus distance (IRD) in the resting and sit-up state of the parturients postpartum and to study the differences in maternal age, weight, and ultrasound diagnosis of IRD at different stages after delivery. Results. The IRD values of the four measurement points in the resting state of the parturient were significantly greater than the IRD values in the sit-up state. And in the resting state, the IRD value ( 4.31 ± 1.07 cm ) of the point 3 region was the largest, and there were significant differences at different stages of the postpartum women. At the same time, the IRD values of points 3 and 4 have significant differences in parturient of different ages. In addition, the IRD values of the four measurement points of overweight women were higher than those of nonoverweight women. Conclusion. The umbilicus is the best ultrasound evaluation point for early postpartum DRA. The IRD value at this point in the resting state can be used as reference data for evaluating early postpartum DRA, which provides a useful reference for rapid postpartum recovery of parturients.

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Section: Introductionmentioning

confidence: 99%

Ultrasonic Characteristics of Diastasis Recti Abdominis in Early Postpartum

Liu

Ran²,

Dong³

et al. 2022

Computational and Mathematical Methods in Medicine

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“…Inclusion criteria were: 1) 22–36 years; 2) parturients, including caesarean section; 3) body mass index (BMI) ≤29kg/m 2 ; 4) diagnosed with DRA between 3–6 months after delivery. 2 , 21 …”

Section: Methodsmentioning

confidence: 99%

Efficacy of Standardized Rehabilitation in the Treatment of Diastasis Rectus Abdominis in Postpartum Women

Hu¹,

Gu²,

Yu³

et al. 2021

IJGM

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Purpose The incidence of diastasis rectus abdominis (DRA) in parturients is continuously increasing, which may cause uncomfortable and affect the quality of life. The present study aims to retrospectively summarize the experience and efficacy in the treatment of DRA via standardized rehabilitation procedures in Eastern China. Methods This retrospective study included the parturients with DRA admitted to the Xishan People’s Hospital of Wuxi between January 2017 and May 2021. Patients were separated into standardized rehabilitation group (SR) and non-standardized rehabilitation group (non-SR). The outcomes were the change in rectus abdominis separation and Physical Functioning Scale (PFS). Measurement data were compared between the two groups, and multivariate linear regression was used to analyze the factors associated with the standardized rehabilitation process. P values < 0.05 were considered statistically significant. Results Among a total of 294 patients with DRA who were included in the study, 171 patients were treated with SR (SR), and the other 123 patients were treated without SR process (non-SR). Compared with non-SR, the separation of the rectus abdominis was significantly reduced in SR after standardized rehabilitation treatment (p value < 0.0001). The multiple linear regression model analysis results suggested that standardized rehabilitation was an independent factor influencing the prognosis of DRA in parturients ( p < 0.0001). In addition, the quality of life of the study group was significantly improved ( p < 0.0001). Conclusion Standardized rehabilitation method revealed high efficiency in treating DRA in postpartum women and could improve the quality of life of parturients.

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“…Inclusion criteria were: 1) 22-36 years; 2) body mass index (BMI) ≤ 29kg/m 2 ; 3) diagnosed with DRA between 3-6 months after delivery 2,15 . Exclusion criteria were: 1) patients with incomplete data or missing follow-up data; 2) patients with any heart or respiratory disease, including excessive coughing and sneezing; 3) patients with any kind of pelvic or abdominal surgery, excluding caesarean section.…”

Section: Study Design and Subjectsmentioning

confidence: 99%

Efficacy of standardized rehabilitation in the treatment of diastasis rectus abdominis in postpartum women in Eastern China

Hu¹,

Gu²,

Yu³

et al. 2021

Preprint

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Objectives: The aim of the study was to retrospectively summarize the experience and efficacy in the treatment of diastasis rectus abdominis (DRA) via standardized rehabilitation procedures in Eastern China.Methods: This retrospective study included the parturients with DRA admitted to the Xishan People’s Hospital of Wuxi between January 2017 and May 2021. Patients were separated in standardized rehabilitation group (SR) and non-standardized rehabilitation group (non-SR). The outcomes were the change of rectus abdominis separation and Physical Functioning Scale (PFs). Measurement data were compared between the two groups using Student's t-test or Fisher's exact test. Multivariate linear regression was used to analyze the factors associated with standardized rehabilitation process. P value < 0.05 was considered statistically significant.Results: A total of 294 patients with DRA were included in the study. Among the 294 patients, 171 patients were treated with SR (SR), and the other 123 patients were treated without SR process (non-SR). Compared with non-SR, the separation of the rectus abdominis was significantly reduced in SR after standardized rehabilitation treatment (p value<0.0001). The multiple linear regression model analysis results suggested that standardized rehabilitation was an independent factor influencing the prognosis of DRA in parturients (P<0.0001). In addition, the quality of life of the study group was significantly improved (p value<0.0001).Conclusions: Standardized rehabilitation method has the high efficiency in the treatment of DRA in postpartum women, and can improve the quality of life of parturients.

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Diastasis of the rectus abdominis muscles in postpartum: Concordance of patient and clinician evaluations, prevalence, associated pelvic floor symptoms and quality of life

Cited by 22 publications

References 17 publications

Ultrasonic Characteristics of Diastasis Recti Abdominis in Early Postpartum

Ultrasonic Characteristics of Diastasis Recti Abdominis in Early Postpartum

Efficacy of Standardized Rehabilitation in the Treatment of Diastasis Rectus Abdominis in Postpartum Women

Efficacy of standardized rehabilitation in the treatment of diastasis rectus abdominis in postpartum women in Eastern China

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