- Rectus Abdominis Diastasis (RAD): An abnormal separation of the two rectus muscles of the abdomen. For postpartum women, a separation of more than 2 cm is generally considered abnormal.
- Causes in Postpartum Women: RAD is common in women who have recently given birth due to increased intra-abdominal pressure during pregnancy. The risk is higher for women who have carried a large baby, twins, or multiple pregnancies to term.
- Clinical Features: RAD is often noticeable upon physical examination, presenting as a bulge or gap along the midline of the abdomen. It is typically distinguishable from other abdominal issues, though ultrasound or CT scans may sometimes be necessary.
- Management for Postpartum Women:
- Conservative Treatments: Initial management involves weight loss and targeted abdominal exercises, such as pelvic tilts and transverse abdominis activation, to strengthen the core and close the gap.
- Postpartum Exercises: Strengthening exercises started after delivery can help improve RAD. Exercises during pregnancy may also reduce the risk of developing RAD.
- Surgical Options: Surgical repair, such as abdominoplasty, may be considered for women whose RAD does not improve with conservative measures. The procedure may involve plication of the rectus sheath if there is no excess skin.
- Complications and Recurrence: Complications from surgical repair are uncommon, but the risk of recurrence can be up to 40 percent over time, depending on follow-up duration.
- Recommendations: Postpartum women experiencing RAD should seek guidance from a healthcare provider to evaluate the severity and determine the best treatment plan, whether conservative management or surgical intervention.
Conclusion
It’s important for women experiencing abdominal separation to consult with a healthcare professional who can provide personalised recommendations based on their medical history and individual needs. Dr Sharon Li offers comprehensive consultations to discuss the most appropriate treatment options, ensuring that each patient receives the care they need to improve their quality of life.
If you have any questions or concerns about abdominal seperation or wish to schedule a consultation, please give us a call on 07 3219 6868.
-Dr Sharon Xian Li (MED0001402739)
Registered Medical Practitioner, Obstetrician and Gynaecologist
Bachelor of Medicine and a Bachelor of Surgery (MBBS)
Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists
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