Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

Mota, Patrícia; Pascoal, Augusto Gil; Carita, Ana Isabel; Bø, Kari

doi:10.1016/j.math.2014.09.002

Cited by 170 publications

(121 citation statements)

References 29 publications

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“…Some studies, however, deny these statements. Sperstad et al [14] reported no difference between women with and without DRA in prevalence of low back pain, similarly as Mota et al [13] and Parker et al [21]. In Norwegian study, women with DRA did not have a weaker pelvic floor muscle or more pelvic floor dysfunctions than women without diastasis [22].…”

Section: Diastasis Recti Abdominismentioning

confidence: 80%

“…Mota et al [13] and Sperstad et al [14] reported no association between DRA and the pre-pregnancy body mass index, weight gain, a baby's birth weight or abdominal circumference, heavy lifting, lifting and carrying children, and regular exercise.…”

Section: Diastasis Recti Abdominismentioning

confidence: 97%

“…The female pattern of DRA is centered at the level of the umbilicus, but it can extend to and encompass the supraumbilical or infraumbilical region [17]. It can persist in approximately 24-70%, even 100% of cases, during the postpartum period at different sites along the LA [13,[17][18][19]. In Brazilian study the prevalence of DRA immediately after vaginal delivery was 68% above the umbilicus and 32% below the umbilicus.…”

Section: Diastasis Recti Abdominismentioning

confidence: 99%

“…The inter-recti distance resolves gradually with time in the postpartum period with individual variability, usually to approximately eighth week postpartum [13]. Mota et al [13] assessed IRD and prevalence of DRA in case of 84 women in 35 th gestational week 6-8, 12-14 weeks postpartum and 6 months postpartum.…”

Section: Diastasis Recti Abdominismentioning

confidence: 99%

“…Mota et al [13] assessed IRD and prevalence of DRA in case of 84 women in 35 th gestational week 6-8, 12-14 weeks postpartum and 6 months postpartum. The size of IRD decreased from 64.6 mm (SD 19.00) to 15.3 mm (SD 8.4), similarly the prevalence of DRA decreased from 100% to 39.3%.…”

Section: Diastasis Recti Abdominismentioning

confidence: 99%

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Diastasis recti abdominis — a review of treatment methods

et al. 2018

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Diastasis recti abdominis is a condition in which both rectus abdominis muscles disintegrate to the sides, this being accompanied by the extension of the linea alba tissue and bulging of the abdominal wall. DRA may result in the herniation of the abdominal viscera, but it is not a hernia per se. DRA is common in the female population during pregnancy and in the postpartum period. There is a scant knowledge on the prevalence, risk factors, prevention or management of the abovementioned condition. The aim of this paper is to present the methods of DRA treatment based on the results of recent studies.

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Section: Diastasis Recti Abdominismentioning

confidence: 80%

Section: Diastasis Recti Abdominismentioning

confidence: 97%

Section: Diastasis Recti Abdominismentioning

confidence: 99%

Section: Diastasis Recti Abdominismentioning

confidence: 99%

Section: Diastasis Recti Abdominismentioning

confidence: 99%

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Diastasis recti abdominis — a review of treatment methods

et al. 2018

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Cohort study of the effect of surgical repair of symptomatic diastasis recti abdominis on abdominal trunk function and quality of life

et al. 2019

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BackgroundDuring pregnancy, women are at risk of developing persistent symptomatic diastasis recti abdominis (DRA), which may have a detrimental effect on their physical function and quality of life (QoL). The aim of this prospective cohort study was to determine the effect of surgical repair of DRA on abdominal trunk function, urinary incontinence and QoL in postpartum women with trunk instability symptoms resistant to training.MethodsPostpartum women with diagnosed DRA and training‐resistant symptoms underwent double‐row plication of the linea alba. Abdominal trunk function was evaluated as the primary endpoint using a multimodal examination tool, the Abdominal Trunk Function Protocol. Recurrence was assessed by CT, urinary incontinence was evaluated using the Urogenital Distress Inventory (UDI‐6) and Incontinence Impact Questionnaire (IIQ‐7), and QoL was assessed with the Short Form 36 (SF‐36®) questionnaire. All subjects were examined before and 1 year after surgery.ResultsSixty women were recruited. There was no DRA recurrence at the 1‐year follow‐up. Self‐reported abdominal trunk function had improved in 98 per cent of patients, with a mean score improvement of 79·1 per cent. In the physiological tests monitored by a physiotherapist, 76 per cent performed better and endured exercise tests longer than before surgery. All SF‐36® subscales improved significantly compared with preoperative scores and reached levels similar to, or higher than, the normative Swedish female population. For the UDI‐6 and IIQ‐7, 47 and 37 per cent respectively reported fewer symptoms at follow‐up than before surgery, and 13 and 8 per cent respectively reported more symptoms.ConclusionIn this series of postpartum women presenting with DRA and symptoms of trunk instability resistant to training, surgical reconstruction resulted in a significant improvement in abdominal trunk function, urinary incontinence and QoL.

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Prioritise safety, optimise success! Return to rugby postpartum

Donnelly,

Coltman,

Dane

et al. 2024

European Journal of Sport Science

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Pregnancy and childbirth involve substantial physical, physiological and psychological changes. As such, postpartum rugby players should be supported and appropriately prepared to return to the demands of rugby alongside the additional demands of motherhood. This review aims to discuss specific perinatal considerations that inform a rugby player's readiness to return‐to‐sport postpartum and present an approach to rehabilitation. Before engaging in full rugby training and matchplay, postpartum players should have progressed through the initial phases of rehabilitation and graded sports‐specific training to prepare them for the loads they will be exposed to. Additional rehabilitation considerations include minimising deconditioning during pregnancy; medical concerns; the abdominal wall; the pelvic floor; perinatal breast changes, breastfeeding and risk of contact breast injury; body mass; nutritional requirements; hormonal considerations; athlete identity and psychological considerations; joining team training; return to contact and tackle training; evaluating player load tolerance and future research, policy and surveillance needs. A whole‐systems, biopsychosocial approach following an evidence informed return‐to‐sport framework is recommended when rehabilitating postpartum rugby players. Health and exercise professionals are encouraged to use the perinatal‐specific recommendations in this review to guide the development of postpartum rehabilitation protocols and resources.

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Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

Cited by 170 publications

References 29 publications

Diastasis recti abdominis — a review of treatment methods

Diastasis recti abdominis — a review of treatment methods

Cohort study of the effect of surgical repair of symptomatic diastasis recti abdominis on abdominal trunk function and quality of life

Prioritise safety, optimise success! Return to rugby postpartum

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