Vēdera taisnā muskuļa diastāzes (diastasis recti abdominis) prevalence pēc dzemdībām
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Date
2020
Authors
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Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Nosaukums
Vēdera taisnā muskuļa diastāzes (diastasis recti abdominis) prevalence pēc dzemdībām.
Ievads un teorētiskais pamatojums
Diastasis recti abdomini (DRA) definē kā vēdera taisnā muskuļa rectus abdominis atdalīšanos pa viduslīniju. Tā rodas vēdera muskuļu pārslodzes gadījumā, kas bieži notiek progresējot grūtniecībai, kā arī pēc dzemdībām, kad ir pārlieku liels intra-abdominālais spiediens un muskuļi ar to netiek galā. Svarīgi ir noteikt DRA pēcdzemdību vizītēs, jo laika gaitā tā esamība var izraisīt sievietei dažādas veselības problēmas, kas samazina dzīves kvalitāti. Pēc Norvēģijā veiktā pētījuma datiem DRA pēc dzemdībām sastopams no 35% līdz 60% sieviešu, taču par situāciju Latvijā datu nav. (Sperstad et al., 2016).
Mērķis
Noteikt vēdera taisnā muskuļa diastāzes (diastasis recti abdominis) prevalenci nedēļniecēm pirmajā pēcdzemdību nedēļā.
Metodoloģija
Pētījumā piedalījās 59 sievietes, pirmajā nedēļā pēc dzemdībām. Dati tika vākti, izmantojot protokolu, kurā tika iekļauti astoņi pielāgoti jautājumi saistībā ar grūtniecību un tika veikts standartizēts tests DRA noteikšanai. Kā esošs DRA tika definēts, ja starp m.rectus abdominis varēja ievietot ≥2 pirkstus palpējot 4,5 cm virs nabas, 4,5 cm zem nabas un nabas līmenī. Sievietes ar un bez DRA tika salīdzinātas ar X2 / Fišera precīzo testu. Pētījuma nozīmīguma līmenis ir 95% (p<0,05).
Rezultāti un secinājumi
DRA prevalence bija 59.4% nedēļnieču. Pēc DRA klasifikācijas normāls attālums starp m.rectus abdominis konstatēts 40.7%, viegla diastāze 39%, vidēja 13.6% un smaga 6.8% sieviešu pirmajā pēcdzemdību nedēļā. Nozīmīgas atšķirības tika atklātas starp vecumu, ĶMI, dzemdību skaitu un sāpēm vēdera priekšējā sienā, salīdzinot sievietes ar DRA un bez tās. Pētījuma nozīmīguma līmenis ir 95% (p<0,05).
Title Prevalence of diastasis recti abdominis after pregnancy. Introduction and background Diastasis recti abdomini (DRA) is defined as the abdominal gap of the rectus abdominis muscle, which seperates and leaves a space in the middle. It occurs in the case of abdominal muscular overload, which often occurs as pregnancy progresses and after childbirth when there is excessive intra-abdominal pressure and the muscles do not cope. It is important to determine DRA on postpartum visits as its presence over time can cause a variety of health problems for the woman, which affects the quality of life. According to a study in Norway, DRA after childbirth is found 35% to 60% of women, but in Latvia there are not any records yet. (Sperstad et al., 2016). Objective To determine the prevalence of diastasis recti abdominis in the first week after childbirth. Methodology The study involved 59 women after giving birth within the first week. The data was collected using a protocol that included eight customized pregnancy related questions and a standardized finger test to detect DRA. An existing DRA was defined if >2 fingerbreadths could be inserted between m.rectus abdominis by palpation 4.5 cm above the navel, 4.5 cm below the navel and at the level of the navel. Women with and without DRA were compared with the X2 / Fisher’s exact test. The significance of the study is 95% which indicates that p<0.05. Results and conclusion The prevalence of DRA was 59.4% of women within one week postpartum. According to this study the DRA classification is normal 40.7%, mild 39%, moderate 13.6% and severe 6.8% in women within first week postpartum. Significant differences were found between age, BMI, number of births, and abdominal pain during pregnancy comparing to women with and without DRA. The significance of the study is 95% (p<0.05).
Title Prevalence of diastasis recti abdominis after pregnancy. Introduction and background Diastasis recti abdomini (DRA) is defined as the abdominal gap of the rectus abdominis muscle, which seperates and leaves a space in the middle. It occurs in the case of abdominal muscular overload, which often occurs as pregnancy progresses and after childbirth when there is excessive intra-abdominal pressure and the muscles do not cope. It is important to determine DRA on postpartum visits as its presence over time can cause a variety of health problems for the woman, which affects the quality of life. According to a study in Norway, DRA after childbirth is found 35% to 60% of women, but in Latvia there are not any records yet. (Sperstad et al., 2016). Objective To determine the prevalence of diastasis recti abdominis in the first week after childbirth. Methodology The study involved 59 women after giving birth within the first week. The data was collected using a protocol that included eight customized pregnancy related questions and a standardized finger test to detect DRA. An existing DRA was defined if >2 fingerbreadths could be inserted between m.rectus abdominis by palpation 4.5 cm above the navel, 4.5 cm below the navel and at the level of the navel. Women with and without DRA were compared with the X2 / Fisher’s exact test. The significance of the study is 95% which indicates that p<0.05. Results and conclusion The prevalence of DRA was 59.4% of women within one week postpartum. According to this study the DRA classification is normal 40.7%, mild 39%, moderate 13.6% and severe 6.8% in women within first week postpartum. Significant differences were found between age, BMI, number of births, and abdominal pain during pregnancy comparing to women with and without DRA. The significance of the study is 95% (p<0.05).
Description
Vecmāte
Midwifery
Veselības aprūpe
Health Care
Midwifery
Veselības aprūpe
Health Care
Keywords
Vēdera taisnā muskuļa diastāze, vēdera taisnā muskuļa diastāze pēc grūtniecības, vēdera taisnais muskulis, vēdera taisnā muskuļa diastāze pēc dzemdībām., Diastasis recti abdominis, diastasis recti abdominis after pregnancy, rectis abdominis, diastasis recti and pregnancy, diastasis recti and childbirth.