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Exercise and Diastasis

Most women will experience a diastasis (separation of the tummy muscles) during pregnancy and afterwards too! Peta Titter RN and Dr Rhea Psereckis have some great info about exercising when you have a diastasis.

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Exercise and Your Postnatal Pelvis

The pelvic skeleton is actually made up of several bones. It is formed by the sacrum and the coccyx at the back and a pair of hip bones on the sides consisting of 3 sections each: the ilium, ischium and pubis. The hip bones and the sacrum at the back are joined together on each side by a fairly immobile joint known as the sacroiliac joint. At the front, your 2 hip bones join together at the pubic symphysis, which is made up of cartilage and ligaments.

During pregnancy these joints and ligaments (along with all the others in your body!) have more mobility due to associated hormonal changes. This is to enable the pelvis to be more flexible, so as to allow the baby to descend through the birth canal. After giving birth, your pelvis will take some time to regain its original strength and stability. Even if you have had a cesarean section your body will have experienced the same hormonal influences during pregnancy with the same changes to your pelvis, to accommodate the growing baby and uterus.

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Diastasis of the Rectus Abdominus Muscles (DRAM)

Diastasis of the rectus abdominus muscles (DRAM) is the separation of the ‘six-pack muscles’ (rectus abdominus). It is particularly prevalent during and after pregnancy and can also occur after abdominal surgery. Some men and postmenopausal women can also develop DRAM for reasons outside of pregnancy.

The deep gap running down the centre of a ‘toned’ stomach may or may not indicate a toned, healthy tummy, and instead may be various forms of diastasis. Intra-abdominal pressure applied to this midline muscle – called the linea alba – causes the widening space between the rectus muscles, or the abs, as the linea alba itself thins and widens. This also causes a protrusion of this muscle.

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