Rectal examination findings

 

Abdominal Separation (Rectal Dilation)

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What is Abdominal Separation?

Some women find their abdominal muscles to be weak and loose during and after pregnancy. This is called abdominal separation, "rectal dilation" or "rectal bifurcation". This is a common condition and often improves in her first eight weeks after the baby is born.

 

Abdominal separation occurs when the growing uterus causes her two long parallel abdominal muscles to separate. These muscles extend in the middle of your abdomen, just under your skin, from your chest to your pelvis.

 

Abdominal separation is due to the pressure of the growing baby and the hormonal changes that occur during pregnancy. It usually begins later in pregnancy.

 

Abdominal separation is common in women who have had two or more children, are over the age of 35, or are pregnant with twins or triplets (or more). It can also occur in short women who give birth to larger-than-average babies.

 

Sometimes called "DRAM" (extended rectus abdominis).

 

 

What causes

The abdomen has long rectangular muscles that run parallel to each other and extend from the chest to the pelvis just below the surface of the skin. This is a large muscle called the rectus abdominis, and it has a right side and a left side. The two sides are connected by a fiber structure.

 

During pregnancy, certain hormones are released that make the body, especially the muscles, more flexible. This effect, combined with the pressure the baby's bumps put on the abdominal muscles, can cause them to break apart. This risk increases if a woman is expecting twins or triplets.It is also more likely if a petite woman has a larger than average baby.

 

The most common causes of rectal ectasia include:

 

Mother's age

Large babies

Second or fourth pregnancies

Weight gain during pregnancy

Multiple births

Heavy lifting, especially in the last trimester

 

When you have symptoms of abdominal peeling Most common during and after pregnancy, but muscles are weak and can occur in people who have never been pregnant.

 

What are the signs

If the abdomen separates after the baby is born, you may see a gap between her two ligaments in the abdominal muscle. If you lie on your back and raise your head, you can see this gap more clearly.

 

You may also see a physical canoe-like bulge in the middle of your abdomen, especially if your abdominal muscles are active.

 

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Some women with a separated abdomen experience lower back pain because the separation prevents the abdominal muscles from supporting the back.

 

Will the split in the abdomen go away on its own?

Usually the split in the abdomen will go away once the baby is born. However, 1 in 3 women still report abdominal separation problems 12 months after giving birth.

 

How Can I Prevent

Strengthening your core muscles before or during pregnancy can help prevent tummy detachment.

 

Avoid overstraining the abdominal muscles during pregnancy. Avoid sit-ups and planks. How is abdominal separation after childbirth treated?

It is important that the separation does not deteriorate.

Try these tips:

Never lift anything heavier than your baby.

Rolls sideways when getting up or getting up.

Choose gentle (rather than strenuous) exercises that strengthen the deeper abdominal muscles.

Skip activities and movements that may exacerbate abdominal isolation B. Sit ups (crunches), oblique curls, yoga exercises (see your GP, midwife, or physical therapist for advice) please give me).

A brace or compression underwear may be worn to support the back and reduce muscle separation.

 

It's entirely possible that with time and care, your muscles will rebuild. If that doesn't work, there is also the option of having surgery after the baby is born.

 

Sutures are often used during surgery to repair the abdominal wall and reduce gaps between muscles. This can improve quality of life and muscle strength, especially for distances greater than 3 cm.

How to Manage

1 in 3 women are said to still complain of abdominal muscle separation 12 months after giving birth. She can work on herself to speed up her recovery and strengthen her muscles faster.

Physical Therapy To Heal Abdominal Separation

During a physical therapy session, remember that slow, steady movements are best, as you need to control your body while exercising.

 

Exercises that encourage twisting of the torso are particularly good for restoring muscle on both sides.