Postpartum Abdominal Diastasis has Treatment

Postpartum Abdominal Diastasis

Diastasis of the rectus abdominis muscles consists of the separation of the abdominal musculature, and it is one of the most frequent complaints in the postpartum period. It usually appears, mainly, in the 3rd trimester of pregnancy and can persist after the baby's birth. With the increase in intra-abdominal pressure caused by pregnancy, the tissue that connects these muscles becomes progressively thinner, losing strength and, thus, separating. After pregnancy, this musculature often does not return to normal, bringing abdominal discomfort, body dissatisfaction, back pain, urinary and fecal incontinence, pelvic prolapse, and even worsening self-esteem.

 

It can appear in other situations or diseases basically related to increased pressure within the abdomen, such as in obesity and/or fragility of the tissues in the abdominal wall, as in individuals who have undergone many abdominal surgeries or who have hernias in the abdominal wall. Rarely, its cause is congenital, that is, when the person is born with this condition.

 

There is no objective definition of how much separation is normal and when it becomes considered pathological. Some studies show that a distance of up to 2 cm between these muscles is normal in the general population, but this does not prevent someone with less than that from presenting symptoms. It is important to note that abdominal diastasis can also appear in men. 

 

Initially, treatment can involve strengthening the abdominal wall musculature, with targeted exercises and postural education. Girdles and binders can also be used for prevention, especially in the postpartum period or even after abdominal surgery, with the aim of preventing diastasis recurrence. In the postpartum period, it is advisable not to start exercises aimed at this strengthening before six weeks postpartum and always follow the obstetrician's guidance before starting any physical activity.

 

Surgical treatment can be performed at least six months after delivery, but preferably after stopping breastfeeding. Surgery can be associated with abdominal dermolipectomy (abdominoplasty), and this association is often recommended to treat excess skin.

 

Treatment can also be performed by laparoscopy or robotic surgery, but these are reserved for cases that do not have excess skin to be treated. 

 

*Dr. Fernando Amato is a plastic surgeon, full member of the Brazilian Society of Plastic Surgery, member of the International Society of Aesthetic Plastic Surgery (ISAPS), and the American Society of Plastic Surgeons (ASPS).

https://youtu.be/kit_FoLutFc Description

Diastasis of the rectus abdominis muscles consists of the separation of the abdominal musculature, and it is one of the most frequent complaints in the postpartum period. It usually appears mainly in the 3rd trimester of pregnancy and can persist after childbirth. With the increase in intra-abdominal pressure due to pregnancy, the tissue that connects these muscles becomes progressively thinner, losing strength and thus separating. After pregnancy, it often does not return to normal, or as before, bringing abdominal discomfort, body dissatisfaction, and even worsening self-esteem. It can appear in other situations or diseases basically related to the increase in pressure within the abdomen, such as in obesity, and/or fragility of the tissues in the abdominal wall, as in individuals who have undergone many abdominal surgeries, and is often related to hernias in the abdominal wall such as umbilical hernias. It is rarer for it to be congenital, meaning someone is born with this condition, and it is important to remember that it can also appear in men. There is no objective definition of how much separation is normal and when it becomes considered pathological; there are studies that show that a distance of up to 2 cm between these muscles is normal in the general population, but this does not prevent someone with less than that from presenting symptoms. The most common symptom is abdominal discomfort, but it is also highly related to a worsening quality of life due to changes in body image. It can also be related to back pain, urinary and fecal incontinence, and pelvic prolapse. Initially, treatment can involve strengthening the abdominal wall musculature, with targeted exercises and postural education. Girdles and elastic binders can also be used, especially in postpartum prevention, or even after abdominal surgery to prevent diastasis recurrence. In the postpartum period, it is advisable not to start exercises aimed at this strengthening before 6 weeks postpartum, and the assisting obstetrician's opinion should always be consulted before starting. Surgical treatment can be performed at least 6 months after delivery, but preferably after stopping breastfeeding. Surgery can be associated with abdominal dermolipectomy (abdominoplasty), and this association is often recommended to treat excess skin. Treatment can also be performed by laparoscopy or robotic surgery, but these are reserved for cases that do not have excess skin to be treated.

Transcript

hello do you know what a diary is

the steel piece consists of the apartment of the

abdominal musculature and is one of the

most frequent complaints in the period

postpartum many women develop it

during the third trimester of pregnancy

and end up with this after childbirth why is

this happening

with the increase in the prediction it has to like

and it can be caused by pregnancy it makes the

connection become thinner and thinner

loses strength and in this way will be

the present after childbirth it hardly

returns to normal and this devil can end up

doing a little bit right

diaphor can appear in men

it can also appear in other situations

or diseases normally related to the

increase of the abdomen to combat obesity

related to fragility in the abdominal

wall they have sometimes already done it

related to the republic and the cigar

and there is no such thing as how much is normal

when it becomes considered pathological

and without work ours can be

up to 2 cm but this doesn't prevent those with less

it's how the wedding is the treatment

it can also be through strengthening the

abdominal musculature the exercise

directed cultural

elastic girdles can be

used I can't speak or even how

abdominal region countries are followers

global in the postpartum period it is advisable not to

start direction to parents today

six weeks postpartum 5 and should be used

opinion if observed two said any

activity

and surgical treatment can be

performed at least six months

opaque but preferably after to

with breastfeeding surgery can be

associated with infection and abdominal ah ah

lives appear many times it is

recommended association to be able to

treat excess skin also the

treatment can be performed by

laparoscopy and attend to the most

needed reserved for

did you like it want to know more about

clear surgery see