{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T13:12:28Z","timestamp":1792761148557,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of this study is to explore the application value of two\u2010dimensional ultrasound and shear wave elastography (SWE) in the multidimensional evaluation of diastasis recti abdominis (DRA) during different gestational periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cohort of 202 gravidas that were examined in our hospital between June 2021 and September 2022 were selected for the purpose of the study, which included 26 cases with &lt;14\u2009weeks of pregnancy, 36 cases in the 14th\u201327th week of pregnancy, 36 cases in the 28th\u201334th week of pregnancy, 32 cases in the 35th\u201338th week of pregnancy, 45 cases at 42\u2009days postpartum, and 27 cases at 3\u2009months postpartum. The inter\u2010rectus distance (IRD) and the thickness in each gestational period were measured, and Young's modulus of the rectus abdominis at different gestational periods was measured using SWE by two sonographers. The differences in IRD, thickness, and elasticity characteristics during different periods, and the correlation between rectus abdominis elasticity and IRD, thickness, body mass index (BMI), neonatal weight, and delivery mode were analyzed and compared. The consistency of SWE parameters obtained by different sonographers was also compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were significant differences in IRD, thickness, and Young's modulus during different gestational periods (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.000,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Early postpartum IRD and Young's modulus did not restore to the level of early pregnancy (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001), while the thickness of rectus abdominis was not significantly different from that of early pregnancy (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.211). The Young's modulus of rectus abdominis was negatively correlated with the IRD (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009.515), positively correlated with the thickness of rectus abdominis (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009.408), and weakly negatively correlated with maternal BMI (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u2212.296). There was no significant correlation with neonatal weight or delivery mode (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.147, .648). The Bland\u2013Altman plot showed that the two sonographers had good consistency in evaluating the elasticity of rectus abdominis by SWE.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The multidimensional evaluation of DRA by ultrasound is feasible and IRD and Young's modulus can be used to evaluate the postpartum recovery of DRA. The combination of the two can objectively reflect the severity of DRA morphology and function.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jum.16384","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T05:39:37Z","timestamp":1701754777000},"page":"525-533","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Multidimensional Ultrasound Evaluation of Diastasis Recti Abdominis During Different Gestational Periods"],"prefix":"10.1002","volume":"43","author":[{"given":"Xiao\u2010Han","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Ultrasonic Luoyang Central Hospital Affiliated to Zhengzhou University  Luoyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ultrasonic Luoyang Central Hospital Affiliated to Zhengzhou University  Luoyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7355-8994","authenticated-orcid":false,"given":"Sheng\u2010Jiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Ultrasonic The First Affiliated Hospital of Henan University of Science and Technology  Luoyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010Juan","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Ultrasonic The First Affiliated Hospital of Henan University of Science and Technology  Luoyang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui\u2010Rui","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Ultrasonic The First Affiliated Hospital of Henan University of Science and Technology  Luoyang 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