Postpartum Diastasis Recti has Treatment

Postpartum Diastasis Recti

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, primarily, 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 increasingly thin, 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 inside the abdomen, such as in obesity and/or fragility of tissues in the abdominal wall, such as in individuals who have had many abdominal surgeries or who have hernias in the abdominal wall. Rarely is its cause 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. 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. It is important to emphasize that diastasis recti can also appear in men. 

 

Treatment, initially, can be through strengthening the abdominal wall muscles, with targeted exercises and postural education. Girdles and bands can also be used as prevention, especially in the postpartum period or even after an abdominal surgery with the aim of preventing the recurrence of a diastasis. In the postpartum period, it is recommended not to start exercises aimed at this strengthening before six weeks postpartum and always seek the obstetrician's guidance before starting any physical activity.

 

Surgical treatment can be performed, at a minimum, after six months postpartum, but, preferably, after stopping breastfeeding. The 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, a full member of the Brazilian Society of Plastic Surgery, a member of the International Society of Aesthetic Plastic Surgery (ISAPS) and the American Society of Plastic Surgeons (ASPS).

https://youtu.be/kit_FoLutFc Description

The 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 primarily in the 3rd trimester of pregnancy and can persist after delivery. With the increase in intra-abdominal pressure due to pregnancy, the tissue that connects these muscles becomes increasingly thin, 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, such as in individuals who have had 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, that is, for someone to be 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 worsened quality of life due to changes in body image. It can also be related to back pain, urinary and fecal incontinence, and pelvic prolapse. Treatment initially can be through strengthening the abdominal wall musculature, with targeted exercises and postural education. Girdles and bands can also be used mainly in postpartum prevention, or even after abdominal surgery to prevent the recurrence of a diastasis. In the postpartum period, it is recommended not to start exercises aimed at this strengthening before 6 weeks postpartum, and the opinion of the attending obstetrician should always be consulted before starting. Surgical treatment can be performed at a minimum of 6 months postpartum, but preferably after stopping breastfeeding. The 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 because it is

why does this happen

with the increase in provision it has to please

and can be caused by pregnancy it connects

the connection becomes thinner and thinner

it loses strength and in this way it will be

the present after delivery it rarely

goes back to normal and this device can end up

making it a little bit difficult

the diaphragm can also appear in men

it can also appear in other situations

or diseases normally related to the

increase in the abdomen to fight obesity

related to fragility in the wall

abdominal have already sometimes made it

related to the republic and the cigar

and there is no such thing as how much the apartment is

normal when it becomes considered

pathological and without work our can be

up to 2 cm but this does not prevent 15 - ma

how is marriage the treatment

it can also be for strengthening the

abdominal part musculature the exercise

directed cultural

elastic mesh bands can be

used I cannot speak or in the same way

abdominal region to followers

worldwide in postpartum it is recommended not

to start directions to parents with me today

six weeks postpartum 5 and should be used

opinion if we observe two he said any

activity

and surgical treatment can be

performed at least six months later

opaque but preferably after stopping

breastfeeding surgery can be

associated with abdominal infection ah ah

lives appear often 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

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