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Childbirth

Share experiences and get support around labour, birth and recovery.

painful rectus abdominis diastasis !! how do I go through labour with this !?

13 replies

Vangough · 14/04/2010 08:39

I've been diagnosed with this as my tummy muscles have given up the ghost and are separating. It is extremely painful unless I wear a very tight tubagrip all the time. I am concerned about labour and giving birth as the bandage is too restricting to wear during contractions (I intend a homebirth + pool and will use hypnobirthing) Any ideas !? Has anyone had this problem? the Physio seemed to think it would be more painful during labour as my stomach muscles will be used so much....Oh joy.

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morethemerrier · 14/04/2010 17:55

Hi vangough, can I just ask where and at what stage you started to get pain?

I am coming up to 36 weeks and this last week I have started to have a horrible pain just under my belly button, kind of following the midline?

It feels like I am splitting in two?!?

I am also hoping for a home waterbirth! This is my 3DC and I never had this feeling before?

Congrats btw!

Vangough · 15/04/2010 08:50

I'm 38 wks. It started @ 35 wks. They thought it was a hernia to begin with but then I saw a Physio and she said due to where it was it was more likely diastasis. She said there is nothing she can do however the pain was so bad I was wearing a huge doubled over tubagrip when I saw her (which meant I could actually get in the car) and she seemed to think that was a great idea and I should consider wearing it during labour. I'm experimenting with singled tubagrip to see if I can breathe freely enough, but also benefit from some support. It does feel like you are splitting in half as that is exactly what your muscles are doing. It normally affects women with multiple births...
Its worth getting a check as you need a diagnosis to get any treatment post-partum..which is when Physio can have an affect.

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morethemerrier · 15/04/2010 18:19

Hi thanks Vangough, the midwife had a look today and confirmed that it is seperating! , I'm under the physio for spd so will mention it to her next visit.

As far as I know there's just one in there!

She also thinks that the baby is breech, so all in all not a good homebirth assesment!

Got to go for a scan to find out!

I hope you get some relief and have a good birth!

good luck x

indigobarbie · 17/04/2010 08:29

You need to see Julie Tupler Website:

www.maternalfitness.com/diastasis.html

www.fitpregnancy.com/general/40871562.html?page=1 - follow through the links to see how to get up from bed properly to avoid making the diastasis any larger

I am 7 weeks post emcs and I have an 8 finger width diastasis. I have been following the exercises shown on her website for 2 weeks and my physio saw a reduction in the diastasis. I had an extra large bump from early on and my baby was 10lbs 1oz. I have a way to go to lose the weight but these exercises can be used during pregnancy to assist - never too late to have a shot.
good luck xx

indigobarbie · 17/04/2010 08:30

what I meant to say was, I have a lot of weight to lose but the tummy muscles coming back together are important too for stability in the lower back and pelvis. I have SPD and am recovering from that too - the exercises do seem to help my lower back pain.

morethemerrier · 17/04/2010 08:37

thanks indigobarbie! Congrats on your baby!

Will have a look now x

Vangough · 18/04/2010 09:17

Thanks - that look very helpful.

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indigobarbie · 18/04/2010 09:54

Please give the exercises a go, you don't have to buy the book as she shows the exercises at the end of the wee video on her website. I am definitley doing them every day at every feed (If I can remember) and am noticing some more muscles than I might have had before! My belly button popped out very early in pg and it is still popped out now, I actually thought it was going to burst near the end it was soo painful! I am hoping with my weight loss (belly still tender and swollen though) and exercise it will ping back into a nice innie again.....

indigobarbie · 18/04/2010 10:00

www.mumsnet.com/Talk/childbirth/754497-HELP-WRONG-Pilates-Exercises-Worsened-My-Abdominal-Separation

www.mumsnet.com/Talk/childbirth/754505-How-can-I-reach-JULIE-TUPLER-Tupler-technique-for-correcting

www.mumsnet.com/Talk/childbirth/516945-i-have-a-spearated-abdomen-also-called-diastasis-recti?pg=3

Vangough · 19/04/2010 13:16

indigobarbie - did you use a splint during labour then if your diastasis started during pregnancy? I've hardly heard from anyone who had it before...mostly post partum.
I am so worried any kind of 'pushing' or even 'birth breathing' (hypnobirthing which I intend to use) will cause agonising pain. I looked at the Tupler video and agree it all looks relevant and also just using my transverse muscles to stand up has helped with the splitting pain I was getting...will do her exercies for sure. How did you manage the separation pain?

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Vangough · 19/04/2010 13:18

Oh and my midwife has suggested a sweep next week to avoid any further muscle separation damage....I would be 39 weeks. I've not had one before and wanted thoughts....does it work !? does it make the contractions start more forcibly?

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indigobarbie · 19/04/2010 13:52

Hi there, I wasn't diagnosed with the diastatis during pregnancy, but afterwards - it was then I realised that this is what I had all during my pregnancy.
I reckon I just considered it to be normal pain!! eeek - but it was increasingly sorer towards the end of my pregnancy, that and my bump was aching in agony over the tightness area of my belly button - and it was very very very itchy.
When I would get up from a laying down position my bump turned into a ridge down the middle and made a the strangest shape, and as my belly button had popped pretty early this was also a tell tale sign. Now I know better and if there's a next time I will be better prepared. People have now told me that my bump was absolutely massive from early on. I actually thought my stomach muscles were pretty good before I was pg, but I am not sure if this is a factor.

I ended up being induced at 42 weeks, mw tried a sweep on me at 39 weeks and she couldn't find my cervix - i told her i must not have one! I don't think that a sweep makes the contractions any more forceful as if it worked your body would be starting labour by itself. I ended up being induced (contractions started and waters broke) then they decided I had to be put on the syntocin drip - this did increase the intensity of the contractions but who knows? It could have been like that anyway, it was my first time so I can't compare.

Fastforward - I didn't get to the pushing stage I was taken for an emcs. But - if it's any consolation or advice I noted that once my waters had broke the tension on my tummy as a whole lessened, I felt a bit lighter.

Maybe wearing a splint would help, I am not sure about that over your bump though?
As you mentioned holding in the muscle has helped you a bit, keep on doing it and see how you feel. I think what she says is that you can actually push your baby out using this muscle and keep a relaxed pelvic floor? Not sure, but she also says when you do a poo to hold this muscle in, I have been doing that too and find it helps.

This should be under one of those topics of things they don't tell you before you get pregnant. After my CS I had incredible intense burning pain up my abdominal muscles, bearable with painkillers but not bearable when going upstairs. FWIW if this happens to you - remember you can actually use a tens machine on your stomach once the baby is out! I didn't know this and it actually took me over an hour to climb 13 stairs..... BUT much better after a few days of rest.

I don't know if any of this is helpful but please try not to worry about what will happen, you can't control that. Just concentrate on relaxing and remember to try and roll on your side out of bed. Keep us posted on how you get on, I'll be thinking of you xx

indigobarbie · 19/04/2010 13:55

I just had a thought and I know you have said you are hoping for hypnobirthing, I wanted a completely drug free labour and wanted into the birth pool. None of this happened. If you do find things painful then even the gas and air might help you, there's no shame in getting the drugs to help you. Also and I know you may not consider this either (I didn't want one) I had an epidural and this would probably take away the pain in your tummy (if there was any) upon pushing?

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