What is Diastasis Recti / Rectus Diastasis?
Also referred to as Rectus Diastasis, Diastasis Recti is a condition characterized by the division of the rectus abdominis muscles, also known as the ‘six-pack’ muscles. This is a frequent occurrence in pregnant women due to the expansion of the womb to accommodate the growing detus, with up to two-thirds of expectant mothers experiencing it. Typically, the majority of these separations tend to naturally heal within eight weeks after childbirth. To determine the severity of the diastasis, a small sit-up can be performed by the patient to allow us to measure the distance between the abdominal muscles at the belly button. The measurements are taken with our fingertips for reference. A postpartum gap of up to 2cm (roughly two finger-widths) is considered within normal limits. Nevertheless, it’s not uncommon for around 50% of women to exhibit a gap exceeding 2.7cm (about three finger-widths) even three months postpartum, which shouldn’t cause significant worry.
Why should you be concern?
The severity of Diastasis Recti correlates strongly with the occurrence of post-partum lower back pain, as it’s related to weakened core muscles. This condition can not only hinder a new mother’s return to exercise or sports but may also impact her ability to look after her child. Activities such as carrying the growing child could increase intra-abdominal pressure and potentially cause a further widening of the gap. In extreme cases, the abdominal content might herniate due to the separation, necessitating surgical intervention for repair. Since the core and pelvic floor muscles work together, a weakened core could contribute to subpar pelvic floor control, potentially causing problems like incontinence or even uterine prolapse.
Our Approach to Diastasis Recti
Exercise is the most widely used treatment for Diastasis Recti in Singapore. It’s generally advised to commence rehabilitative exercises approximately 6-8 weeks after childbirth. Upon your visit to our clinic, we begin by evaluating the extent of your muscle separation. If it exceeds the width of four fingers, the use of an abdominal binder is strongly suggested to support your recovery. Following the assessment and depending on your post-partum stage, we provide a clear explanation of your condition and structure a tailored rehabilitation plan. This plan might commence with fundamental pelvic floor stabilization exercises, gently progressing to activating your Transversus Abdominis while lying on your back. We also teach proper breathing techniques as the diaphragm constitutes the top part of your core. The exercise program will be custom-fit to your needs, considering the activities you aim to resume. Rehabilitation programs usually last between 3 to 6 months, dependent on your individual progress.
Diastasis Recti Exercise Program
Commonly known as Rectus Diastasis (DR), is the separation of the rectus abdominis, also known as the 6 packs muscles. This is a common condition seen in pregnancy as the fetus grows in the womb, around 2/3 of pregnant ladies may have this condition.
There has been a lot of research done that found a high co-relation between the extent of diastasis and the incidence of low back pain post-partum. Besides aesthetics, it might also affect the mother’s ability to provide optimal care for their babies and also might affect their ability to return to exercise and activities of daily living.
in EMW, we use real-time ultrasound to objectively measure the width of your diastasis recti (DR) instead of using fingers to estimate which is a common method of measuring.
Our physiotherapist will follow your progress closely and ensure that you are doing the correct exercises.
What to expect?
Initial Assessment
During the initial assessment, besides understanding how the DR affects you in your daily life, with the aid of a real-time ultrasound, we will be able to objectively measure the severity of your DR. After determining the severity of it, an explanation on your condition will be done and you will be taught basic core exercises to commence your exercise program.
It is highly recommended that rehab exercises should start around 6-8 weeks post-delivery.
Enrolment
Following that, you will be enrolled into the exercise class (with a ratio of 1 trainer to 2 mothers), where you will be doing guided exercises to strengthen your muscles properly.
Review
After 4 to 6 weeks from the first assessment, there will be a reassessment to check on your progress.
Program Fee
Initial Consultation + Assessment
- 4 Exercise Class
- 1 Review
- 1 Initial Assessment
- 8 Exercise Class
- 1 Review
Kelly Qiu
Lactation Consultant and Physiotherapist
Kelly leads our Women’s Health Physiotherapy Service with a strong passion for assisting mothers through pregnancy-related and postpartum challenges. She coordinates antenatal and postnatal programs designed to alleviate pregnancy discomfort and address issues like Diastasis Recti (DR). Her dedication extends to breastfeeding support, where she is one of Singapore’s few physiotherapists certified as a Lactation Consultant. Recognized by the International Board of Lactation Examiners, she holds the title of a Certified Breastfeeing Specialist. Kelly’s commitment to holistic care empowers her to guide mothers through both musculoskeletal and breastfeeding concerns, ensuring a comprehensive approach to their well-being. Additionally, Kelly remains deeply dedicated to geriatric and stroke rehabilitation, exemplified by her home visitations for patients’ initial recovery stages. She applies her expertise creatively, utilizing exercises and readily available home equipment to promote graceful and dignified aging.
Academic Qualifications
- Bachelor of Science (Physiotherapy), Trinity College Dublin (Ireland), 2019
- Diploma in Physiotherapy, Nanyang Polytechnic (Singapore), 2015
Achievements
- Lactation Consultant / Certified Breastfeeding Specialist, International Board of Lactation Examiners, 2022
- Women’s Health Physiotherapy, IHFA, 2022
Memberships / Affiliations
- Allied Health Professions Council, Singapore