Split Tummy Exercise Program for Reducing Diastasis Recti in Postpartum Primigravidae: A Randomized Controlled Trial

Area of Science:

• Obstetrics and Gynaecology
• Physical Therapy
• Postnatal Care

Background:

• Diastasis recti abdominis (DRA), a separation of abdominal muscles, affects over 50% of postpartum women.
• This condition impacts core strength and pelvic floor function in new mothers.

Purpose of the Study:

• To evaluate the efficacy of a split tummy exercise program (STEP) in closing diastasis recti abdominis (DRA) among postpartum women.
• To determine if early intervention with STEP improves outcomes for DRA.

Main Methods:

• A randomized controlled trial involving primigravida mothers with DRA.
• Participants were assigned to either a home-based STEP intervention group (n=21) or a control group (n=20).
• Diastasis recti abdominis (DRA) size was measured using ultrasound at baseline and 8 weeks postpartum.

Main Results:

• The intervention group experienced a significant 27% reduction in DRA size after 8 weeks (mean difference: 6.17 mm).
• The reduction in DRA size was statistically significant (P<0.001).
• No significant changes in DRA size were observed between the intervention and control groups after the 8-week follow-up period.

Conclusions:

• Early postpartum screening for diastasis recti abdominis (DRA) is crucial for timely intervention.
• The split tummy exercise program (STEP) is a highly effective postnatal training method for managing DRA.
• Implementing STEP early can lead to favorable outcomes for postpartum mothers with DRA.