How is the separation of rectus abdominis after delivery? How should I treat it? Is it easy to cure? How many courses can be cured? ... when it comes to rectus abdominis separation, most people are at a loss.

First, let's look at the following case. (Identity: Personal feelings of the second-born mother)

Now, let's analyze why this baby mother's stomach can't go back.

1. If your stomach hasn't come back after a year of fitness at home, the training method is wrong. The separation of rectus abdominis can't just rely on fitness. More importantly, you need correct rehabilitation guidance and correct training methods.

2. When pregnant with a second child, the stomach only grows forward, forming a hanging abdomen. Hanging abdomen is mainly caused by fetal oversize, polyhydramnios and abdominal wall muscle relaxation. Pregnant women's body center of gravity moved forward obviously, and the burden on the spine was too large. Hanging the abdomen until the third trimester is not conducive to the fetus entering the basin. Even if the fetus enters the basin, this excessive forward expansion will break the abdominal muscles, leading to the tearing of the rectus abdominis, resulting in insufficient productivity of pregnant women and increasing the difficulty of natural delivery. When the first baby was born, the separation of rectus abdominis was not completely repaired, and the second baby's muscle weakness was more obvious, so it was easier to form hanging abdomen than other babies.

3. After giving birth to the second child, the body recovered well, but it is easy to backache? First of all, Ma Baosheng's abdomen sagged during his second child. Compared with other Mabao people, the burden on her spine is too heavy, which puts pressure on her waist. Secondly, after she gave birth to a second child, her rectus abdominis was injured twice, and her abdominal strength was weak. In order to keep balance, the back is under great pressure, and it is easy to have backache when exerting force, which seriously affects daily life.

What is rectus abdominis?

On the outermost side of the abdomen, the muscle descending from the top to the center of the abdomen is called rectus abdominis. The rectus abdominis consists of two halves, which are combined by a layer of fibrous tissue called white line. The muscles on both sides of the abdomen obliquely penetrate the abdomen from different directions; The lower layer goes from side to side, directly through the abdomen. Some of these muscle layers do not cross in the center of the abdomen. Below the center of the abdomen, there is only one layer of muscle, so this part is particularly fleshy and easy to get hurt.

Source: pubic symphysis and pubic crest

It stops at the xiphoid process of sternum, before the 5th-7th costal cartilage.

Why is there a separation of rectus abdominis after delivery?

Rectus abdominis is a muscle tissue that connects the left and right sides of the abdomen in parallel. After three months of pregnancy, the uterus began to enlarge and protrude outward, and slowly expanded to the abdomen. Hormone changes in pregnant women can change the elasticity of connective tissue, which is beneficial to fetal development and delivery. Especially in the late pregnancy, when the transverse abdominis muscle is unable to maintain excessive pressure on the abdomen, it will compensate the superficial abdominis muscle. The abdomen will bulge forward, and the enlarged uterus will lengthen the abdominal muscles, weaken the white line of the abdomen, relax the rectus abdominis and increase the distance between the rectus abdominis, thus leading to the separation of the rectus abdominis.

Whether cesarean section or natural delivery, there may be different degrees of rectus abdominis separation. The degree of separation between multiple births and second births will be more obvious.

It is reported that the incidence of rectus abdominis separation is 60% in 6-8 weeks after delivery, the incidence of cesarean section is 765,438 0%, and the incidence of rectus abdominis separation in women who have had two or more cesarean sections is 965,438 0%.

▽ A picture directly tells you why the rectus abdominis is separated.

Separation of rectus abdominis is harmful! ! !

The abdominal wall loses the support of rectus abdominis and internal and external oblique muscles, and the strain of pelvic floor muscles leads to abdominal distension and visceral displacement, which will move the center of gravity forward. In order to maintain the balance of the body, when walking and sitting down, the curvature of the lumbar spine has to be increased, and the pelvis will lean forward to compensate. In order to maintain the balance of the upper body, the knee joint will also cause pathological changes due to the traction of ligaments and muscles and the wear of joints, thus causing secondary changes such as postpartum low back pain and knee pain.

After a long time, the intra-abdominal pressure gradually rises, and the physical changes become more and more difficult to recover. Other anatomical changes include lumbar lordosis, pelvic anteversion, erector spinae shortening and gluteal muscle weakness.

How do you know if you are out of the rectus abdominis?

1. Self-test

Self-test method: supine, legs bent. Expose the abdomen, support your left hand behind your head, put your right index finger and middle finger vertically into your abdomen, and relax. Then lift the upper body and feel the abdominal muscles on both sides squeezing your fingers to the middle. If you can't feel the squeeze, move your hands to both sides until you find the tense muscles. Measure the distance between the muscles on both sides.

Normal: within 2 fingers. (If you breathe, you can recover by yourself)

Need to recover: more than 2 fingers (need to pay attention)

It is important to note that > 5 cm is a defect of abdominal wall, and corresponding examination must be carried out to avoid hernia.

2. Find professional rehabilitation personnel for testing.

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

Case 1: Basic information: 26 years old, 4 years postpartum, recurrent low back pain.

After the evaluation, it was found that apart from the separation of rectus abdominis, it was accompanied by pelvic forward movement, excessive bending of thoracic vertebrae (humpback), wing-shaped shoulder armor, high respiratory compensation, failure to maintain correct abdominal pressure and low back pain caused by excessive compensation of lumbar vertebrae.

After a period of rectus abdominis repair, the abdomen recovered to be basically compact, the loose waist circumference decreased by 4.6cm, and the low back pain disappeared.

▽ Case 2: The second child is numb, and the rectus abdominis 4 fingers are separated. After a period of rehabilitation, the rectus abdominis recovered to one finger and the waist circumference decreased by 10cm. Body shape and posture have also been greatly improved.

Conclusion: Rectus abdominis muscle repair not only affects posture problems, but also affects health problems! !

Choose professional postpartum rehabilitation.

Hua Ting Rehabilitation Center is based on orthopedics and musculology, and integrates obstetrics and gynecology theory, sports medicine and sports rehabilitation. Under the guidance of scientific health concept, active and systematic rehabilitation guidance and training are carried out in view of the psychological and physiological changes of women after delivery.

Postpartum rehabilitation plan:

Through scientific and effective postpartum functional recovery training, mothers can carry out postpartum rehabilitation at the best time after delivery and improve a series of postpartum problems: urinary leakage; Vaginal wall bulging and prolapse; Uterine prolapse; The belly is big and the crotch is wide and flat. Then improve the postpartum mother's body shape and stay away from all kinds of pain and torture of postpartum "moon disease".

Postpartum shaping plan:

Through scientific and effective postpartum comprehensive active training, mothers can not only solve the postpartum function and pain problems in the golden recovery period, but also help mothers reshape their beautiful bodies in the shortest time through scientific and effective postpartum shaping, so that mothers can become hot moms and regain their confidence in the shortest time.

Postpartum problems should not be underestimated. If you have any questions about postpartum rehabilitation, you can come to consult.