Postpartum Abdominal Diastasis

What is postpartum abdominal diastasis

Abdominal diastasis is a condition that involves excessive enlargement and separation of the rectus abdominis, which are two muscles that run longitudinally along the anterior abdominal wall. These muscles, joined by a band of connective tissue called the linea alba, help contain the internal organs and support the abdominal wall.

Abdominal diastasis can have different degrees, based on the distance between the two rectus muscles:

1. Mild diastasis: Less than 3 centimeters.
2. Moderate diastasis: Between 3 and 5 centimeters.
3. Severe diastasis: Greater than 5 centimeters.

Causes of postpartum abdominal diastasis

Abdominal diastasis is often caused by pregnancy, especially if it is twins. The pressure exerted by the growing fetus, along with hormonal changes, can lead to stretching of the abdominal muscles and thinning of the connective tissues, separating the rectus abdominis muscles.

In men, however, abdominal diastasis can be caused by significant weight gain, muscle laxity, obesity associated with a high level of abdominal fat, or significant weight loss, as in the case of bariatric surgery.

Consequences and symptoms of postpartum abdominal diastasis

The consequences of abdominal diastasis are not only aesthetic, but also functional. In addition to a longitudinal indentation along the abdomen and loss of the waist, diastasis can cause protrusions of the viscera, leading to abdominal hernias. Other symptoms include:

1. Swelling, especially after meals.
2. Abdominal pain.
3. Digestive difficulties.
4. Back or pelvis pain.
5. Urinary incontinence.

Diagnosis of postpartum abdominal diastasis

The diagnosis of abdominal diastasis is made through a specialist visit, accompanied by an ultrasound to precisely measure the distance between the rectus abdominis muscles, thus providing the information necessary for adequate treatment.

Treatment of postpartum abdominal diastasis

The solution for abdominal diastasis is surgical and is associated with abdominoplasty. In case of mild or moderate diastasis, an abdominoplasty is performed with repositioning of the rectus abdominis muscles, joining them with special sutures. For more severe diastases, or non-elastic muscles, a biocompatible absorbable mesh may be necessary, which connects the muscles and restores the containment function.

Physical activity and prevention

Physical exercises cannot improve abdominal diastasis and in some cases can make it worse. To avoid complications, an adequate therapeutic approach is necessary and, in some cases, a support girdle can help manage the symptoms.

Conclusion of postpartum abdominal diastasis

Abdominal diastasis is a common condition, especially among postpartum women, and can have both aesthetic and functional consequences. Its diagnosis and treatment require an appropriate medical approach, with surgery as the main solution. Proper treatment can restore the function of the abdominal wall, improving the quality of life of patients.