Physical Restrictions: Abdomen | 17:27

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  1. Rebecca Grubb says:

    Considering DRA during pregnancy – recent literature has cited that it is a normal adaptation nearing end stage pregnancy. At what point (stage) of pregnancy are we to assess for a DRA that is restricting uterine mobility? How is it measured via a predetermined threshold? Symptomatic vs asymptomatic?

    1. Lynn Schulte says:

      Rebecca, yes there is normal adaptation at the end of pregnancy for DRA. A DRA doesn’t usually restrict uterine mobility. It creates space for the uterus to expand. I’m not sure what you mean by a predetermined threshold. I don’t measure for DRA in pregnancy, I work to help my pregnant clients to engage their abdomen to avoid abnormal forces on the anterior abdominal wall as to try and minimize excess strain. If someone is symptomatic then we want to help lengthen lateral trunk wall and strengthen TA as much as possible as baby/babies grow. I assess for uterine mobility and treat uterine ligaments which are the main culprits for restrictions to uterine mobility. Hope this helps.

    2. Samantha Cattach says:

      100% of mums will have some degree of DRA by 36/40, but I find it tends to be second (or more) time mothers who may have significant DRA that will contribute to this more pendulous abdomen and anterior position of baby out of the pelvis.
      I have had midwives also suggest abdominal support garments in the later stages of pregnancy if this is the case to help relocate baby’s pressure over the cervix to help initiate labour and dilation.
      Lynn, what are your thoughts on this? Thank you 🙂

      1. Lynn Schulte says:

        Abdominal support garments can be a great asset for some however i would love for them all to be instructed to engage their abdominal muscles away from the garment so they are still actively using their muscles and not relying on the garment to do the job of the muscles. So use it as a feedback support to remember to engage away from the support. To many people put them on and rely on their support instead of making the muscles still work. Yes second time moms who haven’t done any rehab in between the pregnancies have harder time with this.

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