Postpartum Health: Rectus Diastasis

Diastasis of the rectus abdominis muscles is a common condition that happens during pregnancy, where the abdominal muscles separate. At least 66% of women in their third trimester experience this condition, and 30-60% of these cases continue postpartum (Jessen, 2019). With statistics as high as these, women need empowerment to treat this condition. Symptoms of rectus diastasis include pain and instability of the pelvic floor and core muscles, urinary or fecal incontinence/loss of control, and low back pain.

Physiotherapy is the first line treatment, since it doesn’t involve surgery. It can begin 6-8 weeks postpartum, and includes isometric core exercises, pelvic floor muscle exercises, postural education, back care education, external support like a corset, and aerobic exercise. Surgery should not be used until at least 1 year postpartum. Treating rectus diastasis can be a gentle return to activity after giving birth and strengthen the mother to return to movement and function.