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[Diastasis Recti Abdominis and Pregnancy]
Nina Kimmich1, Christian Haslinger, Martina Kreft
11 Klinik für Geburtshilfe, Universitätsspital Zürich.
Diastasis recti abdominis affects 30-70% of pregnancies, causing limitations. While treatments exist, evidence-based guidelines and clear relapse rates for diastasis recti abdominis are lacking.
Area of Science:
- Obstetrics and Gynecology
- Abdominal Wall Surgery
Background:
- Diastasis recti abdominis (DRA) is common in pregnancy (30-70% prevalence).
- DRA is linked to functional and cosmetic issues.
- Periumbilical localization is most common, with 60% persisting postpartum.
Purpose of the Study:
- To review the current understanding of diastasis recti abdominis in pregnancy.
- To highlight diagnostic standards and treatment effectiveness.
- To identify gaps in research and evidence-based guidelines.
Main Methods:
- Transabdominal ultrasonography is the gold standard for diagnosis during pregnancy.
- Review of existing literature on conservative and surgical treatments.
- Analysis of reported functional and cosmetic limitations.
Main Results:
- High prevalence of diastasis recti abdominis during pregnancy.
- Transabdominal ultrasonography is the preferred diagnostic tool.
- Effectiveness of treatments is suggested, but relapse rates, particularly post-surgery, are unclear.
Conclusions:
- Lack of standardized values and evidence-based therapy schemes for diastasis recti abdominis.
- Insufficient research exists on treatment efficacy and long-term outcomes.
- Further studies are needed to establish best practices for managing diastasis recti abdominis.
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