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Re: 20 weeks pregnant and still not able to feel much movement

From: Joseph Pastorek, MD (anonymous@obgyn.net)
Thu, 26 Mar 1998 06:44:59 -0600 (CST)


Received: (from anonymous@obgyn.net) by talk.obgyn.net (8.8.8/8.8.8) id HAA28053 for WOMENS-HEALTH@OBGYN.net; Thu, 26 Mar 1998 07:13:34 -0600 Message-Id: <199803261313.HAA28053@talk.obgyn.net> Date: Thu, 26 Mar 1998 07:13:34 -0600 (CST) Errors-To: postmaster@obgyn.net Reply-To: anonymous@obgyn.net From: anonymous@obgyn.net (Joseph Pastorek, MD) To: anonymous@obgyn.net In-Reply-To: <199803261145.FAA26967@talk.obgyn.net> X-Original-Sender: 166-25-80.ipt.aol.com @ 152.166.25.80 Subject: Re: Split stomach muscles at childbirth

At Thu, 26 Mar 1998, Wendy wrote: >
>We are in Hong Kong.
>During a normal vaginal delivery of her second child, my friend's
>stomach muscle split. She was advised that this is a rare condition and
>that she should not undertake any abdominal exercise until they closed
>again. It is now one year since the birth and, whilst they have
>improved they are still separated. She cannot find any information and
>no-one here in the medical industry seems to be able to help her. Do
>you have any information on this condition that I can pass on since she
>is not on the "net".
>
>Thanks in advance

By split, I assume you mean separated up the middle, from the belly button down. This is not a rare condition – it's called "diastasis recti". It occurs after the lax abdomen of pregnancy tries to get back to its normal condition, but the rectus muscles (your "six-pack", if you're a body builder) have been pulled apart in the midline, under the belly button. Sometimes they just don't go back together enough.

Exercise IS the most you can do with this condition yourself. If she has problems with it, it can be treated like a hernia and repaired surgically. If she ever has surgery for anything else (like c-section or hysterectomy) it can be repaired, simply by stitching the muscles together in the midline when the doctor is closing his incision (simplistically speaking).

Dr. Joe

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                                                  "All things are connected.

Joseph Pastorek, MD Some things are just more 4816 Wade Drive connected than others." Metairie, LA 70003-2716 - Dirk Gently U.S.A.

FAX (504) 885-8206

co-editor: Medscape Women's Health http://www.medscape.com Louisiana state representative: OBGYN.net http://www.obgyn.net

see http://www.obgyn.net/states/bios/pastorek.htm *************************************************




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