{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T18:23:23Z","timestamp":1793125403979,"version":"4.5.0"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to evaluate the ultrasonographic findings of Diastasis Recti Abdominis (DRA) in postpartum women, explore associated risk factors, and assess the relationship between DRA and pelvic floor dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cross-sectional study included 143 parturient women diagnosed with DRA at our institution from January 2022 to December 2023. The study aimed to assess the ultrasonographic characteristics and clinical implications of DRA in postpartum women. The study participants were aged 21\u201343\u202fyears, carried a single fetus to term without instrumental delivery, and had no prior abdominal surgery. We excluded incomplete records and cases with congenital lumbar spine abnormalities or significant visceral disease. Ultrasound was employed to evaluate the DRA features, specifically the condition of the abdominal midline and echo types. A control group comprised 57 women who had normal deliveries without DRA. The primary outcome of this study was the measurement of rectus abdominis separation using ultrasonography. Secondary outcomes included the assessment of pelvic floor muscle function via electromyography (EMG), evaluation of pain levels, and the identification of risk factors associated with diastasis recti.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the observation group, ultrasound revealed widened abdominal midlines in 122 cases (85.31%), discontinuity in 21 cases (14.68%), and various echo types indicating unequal, narrow band-like moderate, and slightly strong fibrous echoes. Significant differences were found in rectus abdominis separation and levator ani muscle hiatus area, with both being larger in the observation group compared to the control group (\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt;\u202f0.05). Advanced maternal age, higher parity, higher pre-pregnancy BMI, and cesarean delivery were identified as significant risk factors for DRA occurrence in the logistic regression analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>DRA is prevalent among postpartum women with specific ultrasonographic profiles indicating considerable abdominal muscle separation. The study highlights the importance of ultrasound in diagnosing DRA and suggests that certain demographic and delivery method factors increase the risk of this condition. These findings could guide clinicians in early diagnosis and intervention, potentially improving outcomes for affected women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2024.1441127","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T23:24:36Z","timestamp":1733354676000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":12,"title":["Ultrasonographic evaluation of diastasis recti abdominis and its association with pelvic floor dysfunction in postpartum women: a cross-sectional study of a two-year retrospective cohort"],"prefix":"10.3389","volume":"11","author":[{"given":"Manrong","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bingyin","family":"Liang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19127031","article-title":"The effect of Core exercise using online videoconferencing platform and offline-based intervention in postpartum woman with diastasis recti abdominis","volume":"19","author":"Kim","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref2","first-page":"62","article-title":"Efficacy of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial","volume":"19","author":"Thabet","year":"2019","journal-title":"J Musculoskelet Neuronal Interact"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"132","DOI":"10.2399\/ana.21.922706","article-title":"The normal width of the linea alba in cadavers \u2013 a parameter to define rectus diastasis","volume":"15","author":"Barbosa","year":"2021","journal-title":"Anatomy"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1186\/s12905-022-02009-0","article-title":"Primiparous women's knowledge of diastasis recti abdominis, concerns about abdominal appearance, treatments, and perceived abdominal muscle strength 6-8 months postpartum. A cross sectional comparison study","volume":"22","author":"Gluppe","year":"2022","journal-title":"BMC Womens Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1093\/bjsopen\/zrab085","article-title":"Surgical repair of diastasis recti abdominis provides long-term improvement of abdominal core function and quality of life: a 3-year follow-up","volume":"5","author":"Olsson","year":"2021","journal-title":"BJS Open"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1136\/bjsports-2016-096065","article-title":"Diastasis recti abdominis during pregnancy and 12 months after childbirth: prevalence, risk factors and report of lumbopelvic pain","volume":"50","author":"Sperstad","year":"2016","journal-title":"Br J Sports Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1590\/S0102-86502007000300005","article-title":"Ultrasonography for measuring rectus abdominis muscles diastasis","volume":"22","author":"Mendes","year":"2007","journal-title":"Acta Cir Bras"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e34142","DOI":"10.7759\/cureus.34142","article-title":"Evaluating patterns of Injectate spread after rectus sheath block: a cadaveric dissection study","volume":"15","author":"Rojas","year":"2023","journal-title":"Cureus"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.19080\/JGWH.2019.14.555900","article-title":"An overview of the studies on diastasis recti abdominis in postpartum women","volume":"1","author":"Aswini","year":"2019","journal-title":"J Gynecol Womens Health"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"624","DOI":"10.1186\/s12884-022-04952-0","article-title":"Risk factors of pelvic floor muscle strength in south Chinese women: a retrospective study","volume":"22","author":"Fang","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"3273911","DOI":"10.1155\/2022\/3273911","article-title":"Ultrasonic characteristics of diastasis recti abdominis in early postpartum","volume":"2022","author":"Tan","year":"2022","journal-title":"Comput Math Methods Med"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1007\/BF01627606","article-title":"The abdominal linea alba: an anatomo-radiologic and biomechanical study","volume":"18","author":"Rath","year":"1996","journal-title":"Surg Radiol Anat"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"e33347","DOI":"10.7759\/cureus.33347","article-title":"Immediate effect of Kinesio taping on Lumbopelvic stability in postpartum women with diastasis recti: a review","volume":"15","author":"Jobanputtra","year":"2023","journal-title":"Cureus"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1186\/s12905-023-02233-2","article-title":"Changes in maternal heart rate in delayed post-partum preeclampsia","volume":"23","author":"Ravid","year":"2023","journal-title":"BMC Womens Health"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1111\/wrr.13009","article-title":"Wound fluid sampling methods for proteomic studies: a scoping review","volume":"30","author":"Harvey","year":"2022","journal-title":"Wound Repair Regen"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1786994","DOI":"10.1155\/2022\/1786994","article-title":"Evaluation of nursing effect of pelvic floor rehabilitation training on pelvic organ prolapse in postpartum pregnant women under ultrasound imaging with artificial intelligence algorithm","volume":"2022","author":"Yin","year":"2022","journal-title":"Comput Math Methods Med"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1016\/j.numecd.2018.03.001","article-title":"The effect of daily fortified yogurt consumption on weight loss in adults with metabolic syndrome: a 10-week randomized controlled trial","volume":"28","author":"Mohammadi-Sartang","year":"2018","journal-title":"Nutr Metab Cardiovasc Dis"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2024.1441127\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T23:24:37Z","timestamp":1733354677000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2024.1441127\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,5]]},"references-count":17,"alternative-id":["10.3389\/fmed.2024.1441127"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2024.1441127","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,5]]},"article-number":"1441127"}}