Book contents
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Case 20 A Patient with Regular Painful Uterine Contractions at 32 Weeks
- Case 21 A 25-Year-Old Presents at 22 Weeks’ Gestation Leaking Clear Fluid
- Case 22 A 40-Year-Old at 34 Weeks’Gestation with Worsening Itching
- Case 23 A 25-Year-Old Presents at 30 Weeks’ Gestation Following a Motor Vehicle Accident
- Case 24 A 20-Year-Old Presents at 34 Weeks’ Gestation with Pruritic Abdominal Rash
- Case 25 A 30-Year-Old Presents at 18 Weeks’ Gestation with Severe Right Back and Flank Pain
- Case 26 A 30-Year-Old at 18 Weeks’ Gestation with Fever, Dysuria, Worsening Flank Pain, and Hydronephrosis
- Case 27 A 35-Year-Old with Abdominal Wall Bulge at 24 Weeks’ Gestation
- Case 28 A 30-Year-Old Presents for a Prenatal Visit at 41 Weeks’ Gestation
- Case 29 A 40-Year-Old Presents at 34 Weeks’ Gestation with Absent Fetal Movement
- Case 30 A 25-Year-Old at 36 Weeks’ Gestation Presents with Severe Bilateral Wrist Pain
- Case 31 A 20-Year-Old Presents at 31 Weeks’ Gestation with Severe Abdominal Pain and Constipation
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Section 8 Fetal Complications
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Index
- References
Case 27 - A 35-Year-Old with Abdominal Wall Bulge at 24 Weeks’ Gestation
from Section 3 - Antepartum (Late Pregnancy)
Published online by Cambridge University Press: 08 April 2025
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Case 20 A Patient with Regular Painful Uterine Contractions at 32 Weeks
- Case 21 A 25-Year-Old Presents at 22 Weeks’ Gestation Leaking Clear Fluid
- Case 22 A 40-Year-Old at 34 Weeks’Gestation with Worsening Itching
- Case 23 A 25-Year-Old Presents at 30 Weeks’ Gestation Following a Motor Vehicle Accident
- Case 24 A 20-Year-Old Presents at 34 Weeks’ Gestation with Pruritic Abdominal Rash
- Case 25 A 30-Year-Old Presents at 18 Weeks’ Gestation with Severe Right Back and Flank Pain
- Case 26 A 30-Year-Old at 18 Weeks’ Gestation with Fever, Dysuria, Worsening Flank Pain, and Hydronephrosis
- Case 27 A 35-Year-Old with Abdominal Wall Bulge at 24 Weeks’ Gestation
- Case 28 A 30-Year-Old Presents for a Prenatal Visit at 41 Weeks’ Gestation
- Case 29 A 40-Year-Old Presents at 34 Weeks’ Gestation with Absent Fetal Movement
- Case 30 A 25-Year-Old at 36 Weeks’ Gestation Presents with Severe Bilateral Wrist Pain
- Case 31 A 20-Year-Old Presents at 31 Weeks’ Gestation with Severe Abdominal Pain and Constipation
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Section 8 Fetal Complications
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Index
- References
Summary
Diastasis recti abdominis is a weakening or widening of the linea alba of the rectus abdominis muscles. It is more common in the second or third trimesters of pregnancy. The presenting symptoms are usually a “bulge” when the patient performs an abdominal crunch motion and can be associated with lower back pain. Alternatively, it can be incidentally found. The diagnosis is clinical rather than based on imaging, although imaging can help rule out other entities such as primary ventral hernias. If noted in pregnancy, treatment consists of reassurance and use of light abdominal binding, if feasible for the patient. The incidence of ventral hernias in pregnancy are rare, and treatment is usually delayed until the postpartum period.
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- Pregnancy ComplicationsA Case-Based Approach, pp. 84 - 86Publisher: Cambridge University PressPrint publication year: 2025