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Diastasis of the rectus abdominis muscles in postpartum: Concordance of patient and clinician evaluations, prevalence, associated pelvic floor symptoms and quality of life

European Journal of Obstetrics & Gynecology and Reproductive Biology Aug 30, 2020

Cardaillac C, Vieillefosse S, Oppenheimer A, et al. - Researchers aimed to assess the reliability of the patient's measurement of diastasis and to determine the prevalence of postpartum diastasis, diastasis-associated pelvic floor symptoms and quality of life immediately after childbirth and at 3−6 months postpartum. In this prospective observational study, they included 253 patients who gave birth in a French university hospital; 139 of these (54.9 %) completed the administered questionnaires (the HerQLes, the FPFQ and a general questionnaire) at 3–6 months of follow-up. Among included women, 210 (83 %) presented diastasis immediately following childbirth, including 116/210 (55 %) cases of severe diastasis and 51 (42 %) of those had persistent diastasis at 3−6 months of follow-up. Persistent diastasis was noted in correlation with following factors: cesarean section and multiparity. Observations revealed good agreement between clinician and patient evaluations of postpartum diastasis supporting the reliability of the evaluation method. Impaired quality of life was reported in correlation with persistent diastasis.

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