Management of Gross Divarication of the Recti Abdominis in Pregnancy and Labour

Fisioterapia para redução da diástase dos músculos retos abdominais no pós-parto

“…A incidência, duração e complicação a curto e longo prazo da DMRA na gravidez não têm sido bem investigadas 3 . São considerados fatores predisponentes para a DMRA: obesidade, gestações múltiplas, multiparidade, poliidrâmnio, macrossomia fetal e flacidez da musculatura abdominal pré-gravídica, por levar a uma maior distensão abdominal durante a gravidez 3,16 . Noble 12 considera uma DMRA de dois ou menos dedos (± 3 cm) como normal nas regiões supra, infra e umbilical.…”

Abdominal muscle electrical activity during labor expulsive stage: a cross-sectional study

“…Besides those previously given factors, there are authors 18,19 who believe that imbalance in the abdominal wall musculature (external and internal oblique, transverse abdominis and rectus abdominis) influence its functions, hampering the increase of the intra-abdominal pressure, as well as impairing the generation of effective pushing on the second stage of labor. During the third trimester of gestation the fetus size along with a larger abdominal wall distension of the pregnant woman promote a biomechanical disadvantage to the abdominal muscles, giving it relatively lower contraction power when compared to non-pregnant woman.…”

“…The anterior abdominal wall trauma increases the difficulty to increase the intra-abdominal pressure, which is necessary to the fetus expulsion, decreasing the expulsive efforts during the second stage of labor. With a large diastasis during expulsive period, the increase of intra abdominal pressure would cause the ejection of the uterus ahead, through the space between the rectus abdominis muscle bundles, instead of expelling the fetus through the birth canal, what clearly is a biomechanical disadvantage as it alters the longitudinal axis between the fetus and the pelvis, impairing the voluntary efforts' optimization 19 . An important question would be how to identify the cutoff values considered pathological for a rectus abdominis muscle diastasis.…”

Пурге А.Р. Правовая Характеристика Гражданско-Правовой Ответственности За Вред, Причиненный Правоохранительными И Судебными Органами

“…Тек-сты такого рода дополняются таблицами, графиками, формулами и планами. Некоторые страны вынуждены издавать законы на разных языках: например, Швейца-рия, Бельгия и Канада 203 . А во Франции, согласно ст.…”