What do we know about diastasis recti abdominis in Hungary?
IUGA Academy. Gitta S. Jun 30, 2018; 212832; 511 Topic: Stress Incontinence
Stefánia Gitta
Stefánia Gitta

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511

What do we know about diastasis recti abdominis in Hungary?

Gitta, S1; Tardi, P1; Hock, M1

1: University of Pécs

Introduction: In the last few years, more and more information emerges about the pregnancy-related diastasis recti abdominis (DRA) which is the divarication of the two rectus abdominis muscles along the linea alba. Still more researches and data are needed to understand and treat this condition better. In Hungary no one has clinically investigated this state yet, we could only guess about the prevalence of DRA in our female population so far.

Objective: In our study we performed a 1-year-long clinical test to identify the prevalence of diastasis recti among women who had been pregnant at least once. Our aim was to investigate the potential risk factors of the disease’s development, such as age, BMI, number of pregnancies and labors, type of delivery. Also, our goal was to assess the mothers’ quality of life, rate of low back pain and urinary incontinence as possible sequelae.

Methods: 200 women were involved in the present research who have had at least one previous pregnancy. The width between their recti muscles (interrectus distance, IRD) was measured with digital caliper. Our subjects filled out a self-made questionnaire about sociodemographic details, additionally, the SF-36 about the quality of life, the Modified Oswestry Low Back Pain Disability Questionnaire about low back pain and the ICIQ - Urinary Incontinence Short Form questionnaire about urinary incontinence. Paired sample t-tests, ANOVAs and Pearson correlations were used to analyze the relationship between the values. P<0.05 was considered statistically signi?cant.

Results: The prevalence of DRA was found 46,5% in our model. The IRD at the umbilicus was 33.24 mm, 5 cm above the umbilicus was 27.12 mm, 10 cm above the umbilicus 20.28 mm, 2.5 cm below the umbilicus was 28.36 mm, and 5 cm below the umbilicus was 24.75 mm. There was a significant correlation (p=0,003) between the length and the width of the current IRD. There was a measurable but not significant difference between the DRA and age (p=0,099), BMI (p=0,129), number of pregnancies (p=0,126), and type of delivery (p=0,058). The results between the number of deliveries and the IRD were significant (p<0,001). We found a significant difference (p=0,017) in quality of life between the normal and the DRA group. Between these groups there was a significant difference (p=0,039) in the results of the Oswestry questionnaire too. In case of urinary incontinence and pelvic floor muscle strength, we only found significant difference (p=0,028) in the number of muscle contractions within 30 seconds between the women with and without DRA.

Conclusions: According to our results, almost every second women are affected by DRA in Hungary. This condition makes women more susceptible to low back pain and urinary incontinence, therefore to a decreased quality of life. The importance of this study is that this is the first scientific article in the topic of diastasis recti abdominis in this country.

Disclosure:

Work supported by industry: no.

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