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Ask the Nurse! » Ask the Nurse | General Questions

Muscle Wall Separation

Topics: 22   Posts: 175

At my last appointment my OB told me that my muscle wall is starting to separate on my abdomen (belly anyways). I asked her about the pain I was experiencing because when I sit up from laying down, my belly makes a cone shape and hurts like hell. She said it was the muscle wall. Now it feels like it is literally ripping apart. It is always tight and hurts when I walk around. I haven't been back since that appointment (the next one is Wed the 17th). She also said that the baby is already about 6 lbs (I was 34 weeks). My daughter was only 6 lbs 8 oz and was overdue. Is my muscle wall going to 'rip' apart and be damaged for good if this baby gets any bigger?? She said to expect a 7 1/2 - 8 lb baby. I know that's average, but it's hurting sooo bad and I'm only 35 weeks.  


______________________

~*Shana*~

 

~*Mommy to Sadie (September 27, 2007) and Mason (April 17, 2010) & TTC # 3!*~

Topics: 61   Posts: 181
Goodness. I can't even imagine that. My daughter came out 7lb 13oz and 7lb 05oz and they both were early. I never experienced separation and I hope it starts feeling better.

Topics: 22   Posts: 175
Thank you. Yeah, I hope there's something I can do so that it doesn't feel soo tight. It's right at the top of my uterus a few inches from my belly button. I've been wearing my bella band to maybe keep it in tact??? IDK, it just freaks me out a little.

______________________

~*Shana*~

 

~*Mommy to Sadie (September 27, 2007) and Mason (April 17, 2010) & TTC # 3!*~

Topics: 34   Posts: 410
Almost all woman experience muscle separation during pregnancy, don't worry you'll be fine after you have given birth and your able to exercise again you can do ab workouts that will help bring it back together. you can't tell how much a baby weights before birth it is just an estimated guess so I wouldn't worry to much about the size.

______________________

@~>~~JennyJuan=Jenelle~~<~@

InSince 2006

= One Happy Family Since 2008

Topics: 4   Posts: 916


Separation of the abdominal mucscle is a problem that occurs fairly frequently in late pregnancy, especially in petite women, or women with multiple pregnancies. Here is some information that explains what happens, and some suggestions for helping to improve the longterm outcome.

"Abdominal Separation/Diastasis Recti: What it is, and what to do about it



For some women, pregnancy can cause abdominal separation (also called diastasis recti), a condition where the two right and left sides of the Rectus Abdominis—the “six-pack” muscle—spreads apart at the body’s midline, the linea alba. Separation occurs in response the force of the uterus pushing against the abdominal wall, and pregnancy hormones that soften connective tissue. Separation can occur anytime in the last half of pregnancy but is most problematic after pregnancy when the abdominal wall is weak.

Abdominal separation/diastasis recti reduces the integrity and functional strength of the abdominal wall and can aggravate lower back pain and pelvic instability. Separation in a previous pregnancy significantly increases the probability, and severity, of the condition in subsequent pregnancies. Women expecting more than one baby, very petite women, those with a pronounced sway back, or with poor abdominal muscle tone are at increased risk. Genetics also plays a big role. For some women, it simply how their bodies respond to pregnancy. . .

For Best Results, Start Reconditioning Soon after Childbirth

Starting your abdominal reconditioning soon after pregnancy will yield the best results. If you begin abdominal reconditioning at more than six months postpartum it is unlikely that you will be able to decrease the width of the gap at your midline. So if at all possible, start exercises that restore the abdominal wall in the initial months after childbirth.


A Program Designed for Postpartum Abdominal Separation Is Crucial

Reconditioning after pregnancy with abdominal separation can be more challenging. To safely and effectively restore your abdominal wall you need a postnatal exercise program that is specifically designed for women with abdominal separation.

If you have abdominal separation and would like to get started on reconditioning, see my DVD, “Bounce Back Fast! Post Natal Core Conditioning.” This DVD contains three easy-to-follow progressive postpartum workouts:

“Gentle First Moves” featuring safe, restorative exercises that you can start just days after giving birth.
“Bounce Back Fast!” a complete post natal core-conditioning program and an alternate program:
“Bounce Back Fast!” alternate program featuring special exercise variations for those with abdominal separation."
 
 
(I am not familiar with the programs advertised here to correct this problem, so cannot specificlly recommend them, but you can read more about them by clicking on the link.)


 

"Starting your abdominal reconditioning soon after giving birth will yield the best results when it comes to muscle separation.  By doing exercises that restore the abdominal wall in the initial months after childbirth, you can decrease the muscle separation. 

You can begin your abdominal strengthening with two easy exercises.  The first is called a pelvic tilt.  Lie on your back with your knees bent.  Tighten your stomach and buttocks muscles.  Inhale as you tilt your pelvis upwards and press the small of your back into the floor.  Hold for a count of 5.  Relax and exhale.  Repeat 5 times.  The second exercise is deep abdominal breathing.  Lie down on a comfortable surface with your knees bent.  Relax your body and allow your weight to sink into the surface on which you are lying.  Place your hands on your abdomen and allow your abdomen and hands to rise upwards as you inhale.  Hold for a count of 5.  Exhale as your hands and abdomen fall downward, pulling your abdominal muscles in.  Repeat 5 times.

These exercises should help you begin to get those tummy muscles back in shape after having a baby.  Start slowly and gradually in order to increase your abdominal muscle strength.

As always, you should always consult with your physician before beginning any exercise program following the birth of a child."

http://www.netwellness.org/question.cfm/39691.htm


Topics: 22   Posts: 175
I have to admit the diagram's a little scary! lol. So pretty much to sum it up, I have to get my postpartum butt in gear when the babys born to prevent it from being long-term damage?? Thank you soo much for the info, now I am going to come up with a game-plan to exercise because I want to have my stomache flat again at some point, and I don't want it being messed up! lol. I wonder if having the muscle wall separated will mean I will be more prone to having a hernia? Oh, I gotta stop thinking about these things, I'm gonna have an anxiety attack! lol.

______________________

~*Shana*~

 

~*Mommy to Sadie (September 27, 2007) and Mason (April 17, 2010) & TTC # 3!*~

Topics: 4   Posts: 916
Please don't panic! This occurs more often than you think. You can read more at the websites listed above, and get some ideas for how to help your body recover. Remember not to start any heavy exercise without your doctor's OK. Hopefully you will not experience a big separation such as the one shown in the diagram. Ask your doctor if there is something you can do now to minimize the problem. :-)

Topics: 0   Posts: 302
I was just going to say what NurseAnne has said, A worse case scenario is of my friend who had this with her third child and because of her abusive husband (at the time) not allowing her to rest like her doctor ordered her to do and was doing strenuous work as soon as she came home with the baby, she ended up in pain for years and having an operation to fix it. I know that sounds scary but don't be afraid, if your doctor suggests you rest then do it, if he/she suggests certain exercises then do them and all will be well, besides you have a lovely supportive husband too.



Moderators: NurseAnne, MommaPoco

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