Diastasis after childbirth

Diastase of rectus abdominal muscles after childbirth - causes, symptoms and treatment

About the causes of diastasis

Straight muscles of the peritoneum are joined together by a mesh-bundle of tendinous fibers. This is the so-called abdominal white line - the brightest place on the background of muscles. Expansion of the ligament with the divergence of the muscles in the sides is called diastase. It arises because of the increasing intra-abdominal pressure, which presses on the front wall of the abdomen during the growth of the uterus. And this contributes to the active production of the hormone relaxin during pregnancy. It softens the muscle fibers, ligaments, pelvic joints and makes them mobile, more elastic. The risk group for the development of diastasia includes women with large-fetus and multiple pregnancy, polyhydramnios, second and subsequent births.

In addition to bearing the baby and the strain in childbirth, there are other factors, contributing to the development of diastasis in women:

  1. Incorrect physical activity in sports.
  2. Exhausting and prolonged cough after childbirth.
  3. Decreased muscle tone due to rapid weight loss or excessive weight gain.
  4. Natural (congenital) weakness of the abdominal ligament.

How to determine diastase after birth

To do this, lie on your back on a flat surface. Lower limbs must be bent at the knees, feet firmly pressed to the floor. The right arm should be wound behind the head, the stomach slightly strained. The left hand should feel the place, which is located in the middle of the abdomen, along the middle line. If there really is a diastase, then along the line there will be a discrepancy between the muscles. It is similar to an elongated fossa. And when you lift your head up slightly in this pose, a bulge in the form of a roller will appear on your stomach. The fovea can localize above the navel or below it, possibly in the place of the navel itself. And this is the risk of forming an umbilical hernia.

The main symptom of diastasis is a large stomach that does not decrease after a week or two or three after delivery even if the woman follows a diet, charging.

Treatment of diastase of the rectus abdominal muscles after birth

Women should know that this pathology can not be eliminated by itself, after some time. Methods to combat pathology depend on the degree of divergence of the abdominal muscles. The first and second degree is corrected by a set of special exercises. They are aimed at strengthening the oblique muscles of the abdomen, anterior abdominal wall. But the third degree of diastase is eliminated surgically.

So, for the correction of pathology, women are recommended dailyOh, several times a day to draw in and relax the stomach. It is useful to draw in and hold it for 20-30 seconds, while experiencing a static voltage. With the performance of this exercise, do not overdo it so as not to bring yourself to pain.

You can lift your head slightly with your shoulders, lying on your back with your legs bent at the knees. The head position should also be fixed for 20-30 seconds. But the straight muscles of the abdomen, that is, the press, is forbidden to swing. This exercise will only aggravate diastasis, will increase the discrepancy of muscles. You can not do exercises with the lifting of the lower part of the body, when the abdominal cavity is inflated from the inside.

Experts recommend that women with this pathology engage in Pilates. It helps to strengthen the abdominal muscles without sharp loads. It will be useful to Pilates for those representatives of the weaker sex, which have postpartum problems with the back.

As for the surgical treatment of diastasis, its essence is to eliminate the diastatic opening, strengthen the peritoneal wall. The effect of such an operation will be functional and cosmetic. It is recommended to resort to surgical operation only as a last resort, that is, at the third degree of diastasis. It can be associated with a risk of internal complications.

Despite the fact that about 40% of women giving birth face this diastasis, surgical intervention is not required by everyone. Pathology should be tried to eliminate the regular performance of a set of physical exercises. And the earlier a woman starts to engage, the faster the result will be visible.

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