Abdominal Separation (diastasis Recti) During Pregnancy – Symptoms, Exercises and Treatment

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Updated On:January 29, 2025

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What is Abdominal Separation (diastasis Recti) During Pregnancy?

During and after pregnancy, the rectus abdominis muscles separate, a condition known as diastasis recti (also called diastasis rectus abdominis or diastasis). Your stomach's strip of tissue that runs down the middle called the linea alba divides it into left and right halves. The linea alba thins and separates when your uterus grows during pregnancy, stretching your abdominals. The tissue ring expands as it is forced outward. The linea alba mends and retracts back after childbirth. If the abdominal gap does not close as much as it should, the diagnosis is usually diastasis recti. If you have diastasis, months or years after giving birth, you may still seem pregnant because your tummy may protrude slightly above or below the belly button.

Causes of Abdominal Separation (diastasis Recti) During Pregnancy

Your abdomen (abs) is under a lot of pressure during pregnancy. The linea alba, a thin strip of connective tissue, runs between the left and right abdominal muscles, making up the abdomen. They are stretched and pushed outward to accommodate the expanding baby. When the linea alba is overextended and fails to reconnect, diastasis recti occurs. The abs remain divided on the left and right sides. 

Symptoms of Abdominal Separation (diastasis Recti) During Pregnancy

Most people don't become aware of diastasis recti symptoms until after giving birth. Pregnancy can induce diastasis recti, but because your belly is expanded, it might be difficult to identify. When diastasis recti occurs in the postpartum phase, common symptoms include:

  • A noticeable "pooch" or protrusion that extends slightly above or below the belly button
  • The area surrounding your belly button feels soft or jelly-like
  • Coning or doming as a result of ab muscular contraction
  • Walking, lifting, or doing daily duties becomes difficult
  • Discomfort during intercourse
  • Pelvic or hip pain
  • Lower back discomfort
  • Poor posture
  • Urine incontinence
  • Diarrhoea
  • Having weak abdominal muscles

When to see a doctor for Abdominal Separation (diastasis Recti) During Pregnancy?

For a diagnosis, get in touch with your healthcare practitioner if you can fit more than two fingers between your abdomen or if you're in discomfort. They could recommend that you visit a pelvic floor expert or physical therapist to assist in strengthening your abdominal muscles.

Abdominal Separation (diastasis Recti) During Pregnancy Risk Factors

Several reasons can make diastasis recti more likely to occur; these include the following:

  • Being pregnant more than once, especially consecutively
  • Being older than thirty-five
  • Having multiples, like twins or triplets
  • Bearing a large or weighty child
  • Being petite
  • Vaginal delivery

Abdominal Separation (diastasis Recti) During Pregnancy Complications 

Complications from severe instances of diastasis recti or if treatment is not received include:

  • An umbilical hernia
  • Back, hip, and pelvic discomfort
  • Discomfort during intercourse
  • Incontinence

Abdominal Separation (diastasis Recti) During Pregnancy Diagnosis

Your doctor will assess whether diastasis is present, as well as its location and severity. There are three possible locations for diastasis recti: At, below, or above the belly button.

To feel for gaps and muscle tone in the abdomen region, your healthcare practitioner will use their hands and fingers. For a more precise measurement, certain healthcare professionals could employ ultrasonography, measuring tape, or a device known as a caliper. Usually, this examination takes place during your postpartum visit before you are allowed to resume your workout.

Diastasis recti is defined as an abdominal gap larger than two centimetres. Another way to assess diastasis recti is in finger widths. Your doctor could suggest exercises to help with diastasis recti or they might send you to a specialist for further therapy.

Abdominal Separation (diastasis Recti) During Pregnancy Treatment

You must do mild abdominal muscle engagement exercises to correct diastasis recti. Make sure an exercise regimen is safe for diastasis recti before beginning. Consult a physical therapist or fitness expert with diastasis recti experience. To ensure that you are doing the exercises correctly and moving on to more difficult ones at the appropriate time, they might design a treatment plan.

Abdominal separation will exacerbate with specific motions. Throughout the postpartum phase, you ought to make the following adjustments:

  • Steer clear of anything heavier than your child.
  • When you sit up or get out of bed, turn onto your side. To raise yourself, use your arms.
  • Steer clear of exercises and activities that cause your abdomen to protrude, such as sit-ups and crunches.

Elastic belly bands, or binding devices, are used by certain persons to support their lower back and keep their tummy in. Wearing binders won't build stronger core muscles or repair diastasis recti. It can encourage proper posture and serve as a helpful reminder of your diastasis recti.

Abdominal Separation (diastasis Recti) During Pregnancy Prevention

You can take the following steps to reduce your chance of having diastasis recti:

  • Maintaining a healthy weight increase range can be achieved by exercise and a balanced diet.
  • Take a straight stance and push your shoulders back. Breathe deeply until your ribs, not just your belly, expand.
  • Exercises that strain your abdominals, such as sit-ups and crunches, should be avoided after 12 weeks of pregnancy and after giving birth.
  • Avoid straining when lifting. Some daily tasks, such as carrying groceries or your kids, might overstress your abdominal muscles.
  • When getting out of bed, roll to one side and use your arms if you are pregnant or just gave birth.

References

Gruszczyńska, D., & Truszczyńska-Baszak, A. (2018). Exercises for pregnant and postpartum women with diastasis recti abdominis–literature review. Advances in Rehabilitation32(3), 27-35.

Michalska, A., Rokita, W., Wolder, D., Pogorzelska, J., & Kaczmarczyk, K. (2018). Diastasis recti abdominis—a review of treatment methods. Ginekologia polska89(2), 97-101.

Mota, P., Gil Pascoal, A., & Bo, K. (2015). Diastasis recti abdominis in pregnancy and postpartum period. Risk factors, functional implications and resolution. Current women's health reviews11(1), 59-67.

Mota, P., Pascoal, A. G., Vaz, C., João, F., Veloso, A., & Bø, K. (2018). Diastasis recti during pregnancy and postpartum. Women's Health and Biomechanics: Where Medicine and Engineering Meet, 121-132.

Sperstad, J. B., Tennfjord, M. K., Hilde, G., Ellström-Engh, M., & Bø, K. (2016). Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain. British journal of sports medicine50(17), 1092-1096.

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