Risk Factors Analysis of Diastasis Recti Abdominis during Postpartum
10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2021.0519
- VernacularTitle:产后腹直肌分离的相关危险因素分析
- Author:
Ling LI
1
;
Jin-hui CUI
1
;
Li-ping OUYANG
1
;
Zhao-ran MENG
1
;
Jian-hui FAN
1
Author Information
1. Department of Obstetrics and Gynecology，The Third Affiliated Hospital of Sun Yat-sen University，Guangzhou 510630，China
- Publication Type:Journal Article
- Keywords:
diastasis recti abdominis;
elderly women;
multiple parturitions;
cesarean section
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2021;42(5):790-795
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the risk factors of diastasis recti abdominis（DRA） during postpartum. MethodsRetrospective analysis was performed on 2 394 deliveries who received regular prenatal tests and delivered in the Third Affiliated Hospital of Sun Yat-sen University during June 2019 to October 2020. The inter-rectus distance were measured by high-frequency ultrasound during 3 months postpartum. According to the width of inter-rectus distance， 321 cases in non-DRA group and 2 073 cases in DRA group were included. The clinical characteristics and delivery outcomes of the subjects were collected， including age， height， parity， body mass index（BMI）， diabetes mellitus or not， gestational age at delivery， delivery modes and neonatal birth weight. The differences of clinical characteristics between the two groups were compared， and the risk factors of DRA were explored by Logistic analysis. ResultsDRA mainly occurred at umbilicus， the incidence of DRA after postpartum 3 months was 86.6%， the incidence of mild DRA was 32.1%，moderate DRA was 48.2% and severe DRA was 6.3%. Compared with non-DRA group， the average age，pre-pregnancy BMI， BMI at delivery and the neonatal birth weight were bigger in DRA group （P <0.001）， the proportion of multiple parturitions and cesarean section were higher in DRA group（48.2% vs. 26.8% and 41.3% vs. 19.6%， P <0.001）. Elderly women， multiple parturitions and cesarean section were all independent risk factors of DRA after postpartum. ［OR=4.137，95%CI （2.655， 6.448）；OR=2.892，95%CI （2.198， 3.805） and OR=3.217，95%CI （2.379， 4.350），all P <0.05］. ConclusionElderly maternal， multiple parturitions and cesarean section were independent risk factors of DRA during postpartum.
