Diastasis Recti (Tummy Separation)
Separated abdominal muscles or diastasis rectus abdominus (DRA), is a widening of the soft connective tissue that holds your abdominal muscles together.
In pregnancy slight separation will occur in 100% of women to prepare the abdomen to accommodate the baby. In most women this should return to normal in the weeks after delivery, however in up to 1/3 of women the separation may continue longer than this and may require specialist input to help with rehab and function.
How do I know if the separation (DRA) is a healthy amount?
We used to think DRA was all about the size of the gap, but as more evidence emerges we now know that it is also to do with how the connective tissue and muscles work during function, and how much tension is present in the connective tissue to protect the abdomen. It is always best to have it checked by a physiotherapist regardless of how long you have noticed it for.
Signs to look out for
- Doming or dipping in of the abdomen in pregnancy or after delivery. Ballooning of the abdomen during sitting up, normal movement or exercise.
- Excessive skin and stretch marks. DRA can also contribute to back / pelvic pain and pelvic floor issues, so the abdomen should always be checked when these symptoms are present.
- Do you feel strong and supported in your tummy, or do you feel weak, like you want to hold your tummy or support it with compressive clothing?