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Having a big belly after giving birth? What you don’t know is diastasis recti.

I am pregnant in ten months and once I give birth, beautiful mother, how is your A4 waist?

Many mothers ask what is postpartum diastasis recti? How should it be treated? Is it easy to cure? How many courses of treatment can cure it? ...When it comes to diastasis rectus abdominis, most people look blank.

First, let’s look at the following case. (Identity: Personal experience of a mother of two children)

Now, let’s analyze why this mother’s belly has not returned for a long time?

1. If your belly still doesn’t go away after a year of working out at home, it means that the training method is wrong. Diastasis of the rectus abdominis can not go back just by working out, but more importantly, it requires correct rehabilitation guidance. Correct Training methods.

2. When pregnant with the second child, the belly only grows forward, forming a hanging abdomen. Suspended abdomen is generally caused by an oversized fetus, polyhydramnios, and excessive relaxation of abdominal wall muscles. The center of gravity of a pregnant woman's body shifts significantly forward, which places an excessive burden on the spine. A hanging abdomen is not conducive to the fetus entering the pelvis in the third trimester. Even if the fetus does enter the pelvis, this excessive forward expansion will break the abdominal muscles and cause the rectus abdominis to tear, causing the mother to have insufficient labor. All these increase the risk of normal delivery. Difficulty. This mother's diastasis of the rectus abdominis was not completely repaired during her first pregnancy, and her muscle weakness was more obvious with her second child, so she was more likely to develop a hanging abdomen than other mothers.

3. My body has recovered well after giving birth to my second child, but I am prone to backache? First of all, the mother had a hanging abdomen when she had her second child. Compared with other mothers, the burden on the spine was too great, which put pressure on the waist. Secondly, after the second child was pregnant, the rectus abdominis suffered a secondary injury, the abdominal strength was weak, and the lower back In order to maintain the balance of the body, the pressure is greater, and it is easy to get backache when exerting force, which seriously affects daily life.

What is the rectus abdominis?

The muscle that is on the outermost side of the abdomen and goes straight down to the center of the abdomen is called the rectus abdominis. The rectus abdominis muscle consists of two halves held together by a thin layer of fibrous tissue called the linea alba. The muscles on both sides of the abdomen pass through the abdomen diagonally from different directions; the lower layer passes through the abdomen from one side to the other side, straight through the abdomen. Some of these layers of muscles do not cross at the center of the abdomen. There is only one layer of muscle under the center of the abdomen, so this area is particularly fleshy and prone to injury.

Originates from: pubic symphysis and pubic crest

Ends at: xiphoid process of sternum and in front of the 5th to 7th costal cartilages.

Why does diastasis recti occur after childbirth?

The rectus abdominis is a muscle tissue connected parallel to the left and right sides of the abdomen. After mothers are 3 months pregnant, the uterus begins to enlarge and protrude, and slowly expands toward the abdomen. Hormonal changes in a woman's body during pregnancy cause the elasticity of connective tissue to change to facilitate fetal development and delivery. Especially in late pregnancy, when the transversus abdominis muscle is unable to maintain excessive abdominal pressure, the superficial abdominal muscles will compensate. The belly will bulge forward compliantly, and the enlarged uterus will elongate the abdominal muscles. The linea alba will stretch and become weak, the rectus abdominis muscles will become loose, and the distance between the rectus abdominis muscles will increase, resulting in separation of the rectus abdominis muscles. .

Whether it is a cesarean section or a vaginal delivery, varying degrees of rectus abdominis separation may occur. The degree of separation will be more obvious in multiple births and second births.

According to reports, among mothers 6-8 weeks postpartum, the incidence rate of rectus abdominis separation is 60% for vaginal delivery and 71% for cesarean section. The incidence of separation was 91%.

▽ A picture intuitively tells you why the rectus abdominis is separated

The dangers of rectus abdominis separation! ! !

The abdominal wall loses the support of the rectus abdominis and internal and external oblique muscles, coupled with strain on the pelvic floor muscles, resulting in abdominal bulge and displacement of internal organs, which will shift the body's center of gravity forward. In order to maintain the balance of the body, when walking and sitting, the curvature of the lumbar spine has to be increased. If the lumbar spine is straightened forward, the pelvis will tilt forward to compensate. In order to maintain the balance of the upper body, the knee joint will also be caused by ligament and muscle stretch and joint wear. Lesions can cause secondary changes such as low back pain and knee joint pain after childbirth.

Over time, intra-abdominal pressure gradually increases, and body shape changes become increasingly difficult to recover. Other anatomical changes include lumbar protrusion, anterior pelvic tilt, shortening of the erector spinae muscles, and shortened and weak gluteal muscles.

How do you know if you have diastasis recti?

1. Self-test

Self-test method: Lie on your back with your legs bent. Expose your abdomen, support your left hand behind your head, insert your right index and middle fingers vertically into your abdomen, and relax your body. Then lift your upper body and feel the abdominal muscles on both sides squeezing your fingers toward the middle. If you don't feel the squeezing, then move your fingers to both sides until you find the tense muscles. Measure the distance between the muscles on both sides.

Normal: within 2 fingers. (It can recover on its own with breathing)

Rehabilitation required: more than 2 fingers (need to pay attention)

Special attention is needed: >5cm is an abdominal wall defect, and corresponding examinations must be carried out to avoid hernia. .

2. Find professional rehabilitation personnel for testing

Let’s take a look at the situation of other mothers:

Case 1: Basic situation: 26 years old, 4 years postpartum , have frequent low back pain.

After the evaluation, it was found that in addition to rectus abdominis separation, accompanied by forward pelvic shift, excessive curvature of the thoracic spine (hunched back), winged shoulder armor, and high respiratory compensation, it was not possible to maintain the correct abdominal position. Pressure, low back pain caused by overcompensation of the lumbar spine.

▽After a period of repair of the rectus abdominis, the abdomen returned to basic firmness, the waist circumference was reduced by 4.6cm after relaxation, and the low back pain disappeared.

▽ Case 2: The second child had numbness, and the rectus abdominis muscle was separated by 4 fingers during examination. After a period of recovery, the rectus abdominis muscle returned to one finger, and the waist circumference was reduced by 10cm. The body shape and posture were also greatly improved. .

Summary: Rectus abdominis repair affects not only posture issues, but more importantly, physical health issues! !

》》Choose professional postpartum rehabilitation

Huating Rehabilitation Center is based on osteology and myology, and integrates pregnancy and childbirth theory, sports medicine, and sports rehabilitation. . Under the guidance of scientific health concepts, we provide active and systematic rehabilitation guidance and training for women’s postpartum psychological and physiological changes.

》Postpartum Rehabilitation Plan:

Through scientific and effective postpartum functional recovery training, mothers can perform postpartum rehabilitation within the best time after delivery and improve a series of postpartum problems: urine leakage; vaginal discharge; Wall bulge and prolapse; uterine prolapse; potbelly and wide and flat crotch. It can then improve the body shape of postpartum mothers and avoid all kinds of pain and torture caused by postpartum "confinement disease".

》Postpartum body shaping plan:

Through scientific and effective comprehensive active postpartum training, mothers can not only solve postpartum functional and pain problems during the golden postpartum recovery period, but also further pass the Scientific and effective postpartum shaping helps mothers reshape their waist, abdomen, buttocks, legs, chest and back into a beautiful figure in the shortest possible time, allowing mothers to transform into hot moms and regain their confidence in the shortest possible time.

Postpartum problems should not be underestimated. If you have any questions about postpartum recovery, you can come for consultation.