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16.02.2016


Diastasis Recti is a scary sounding phrase for a rather common pregnancy condition- the splitting of the rectus abdominals (the muscles that make up “six pack abs”).
Most moms don’t know abdominal separation can occur in pregnancy, so they don’t check for it or know how to fix it.  It’s important to be educated- so you know what exercises can help manage Diastasis Recti during pregnancy and so you can correct it fully after your baby is born.
The first step in getting educated is checking to see if you are experiencing any separation. Begin by lying on the floor in a traditional sit-up position, knees bent, with your feet flat on floor.
Run your fingers laterally across your stomach, feeling for a ditch running vertically down the middle of their stomach.
1-2 fingertips is considered normal, 3+ should be referred to a doctor or physical therapist postpartum. Whether or not you believe you have diastasis, transverse abdominal work is the most helpful exercise to do while pregnant.
Because oblique work puts more pull on the sides of the rectus abdominals at its weakened points, excessive, repetitive oblique exercises should be avoided.
After birth, you’ll have a lot on your plate (that’s putting it mildly!) but many women who find out during pregnancy that they have diastasis recti are anxious to get it corrected postpartum. As soon as possible after birth, return to a regular practice of Kegels and transverse strengthening.
If you have a less that 3 finger separation, begin to repair the interior abdominals  through Kegels and add in transverse abdominal work.  The Kegels help strengthen the pelvic floor and a technique called “hollowing” can strengthen the transverse abdominals.
If you’d like, you can also wear a postpartum belly wrap – many women find this helps pull their rectus abs back together (and is very similar to “splinting”, a technique many physical therapists use to repair diastais) especially when worn in combination with safe abdominal work.


Also, oblique work is generally to be avoided prior to six months postpartum as it can work against pulling the rectus abs back together.
The splitting of the rectus abdominals during pregnancy is normal, and exercise  during and after pregnancy can help both manage and repair the condition. What I can never seem to find is how close does the separation need to be to go back to regular ab exercises? We've designed 3 mobile apps to help Moms get in shape during pregnancy and after and also to teach you how to push your baby out easily and effectively with NO FEAR!
It’s important to know what it is, as safe exercise can help control it but some types of exercise actually make it worse. Gently hugging your baby with your ab muscles builds the inner layer of ab muscles while also putting less stress on the rectus abs, which can help lessen the split. You will want to avoid exercises that repetitively twist, or shorten from hip to shoulder (like a traditional bicycle ab crunch). We recommend doing this self-check before your 6 week postpartum ob visit so you can discuss your findings with your doctor. Watch this video to see how splinting works and use this technique as you return to abdominal work after baby. Fitness has three great exercise apps available on iTunes that you can download to start working out now! The first trimester tends to be the period with the least weight gain and then it steadily increases with the greatest amount being put on in the third trimester when your baby is growing the most. Most moms don’t feel it happening- it’s not painful- but it can lead to back pain, pelvic pain and pelvic floor dysfunction if not addressed.


Taller women are less likely to show any separation because there’s more room for the baby to grow. Instead abdominal stabilizing exercises, like those found in Pilates-based movements, should be used. If you have a 3+ finger separation, mention it to your doctor and consider finding a physical therapist in your area. I’d continue to focus primarily on your transverse work and slowly ramp up rectus ab work (being sure the transverse is engaged during these exercises too) and then slowly add back any oblique work. On average, an expectant mum needs an extra 300 kilojoules in her diet per day for the first trimester, 600kJ during the second trimester and 900 kJ in the last trimester. Shorter women and moms having multiples will start to “split” sooner and are more likely to have some abdominal separation.
Rolling like a ball and modified roll ups are great exercises to do instead of oblique work.
Generally speaking oblique work isn’t recommend prior to 6 months postpartum, so you might want to wait a bit to add that in.



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