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Diastasis Recti | Pregnancy Power Hour
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Condition · manageable

Diastasis Recti

Diastasis recti is a common and expected separation of your abdominal muscles during and after pregnancy, often manageable with gentle, targeted support.

2 min read

Quick answer

Diastasis recti is a common and expected separation of your abdominal muscles during and after pregnancy, often manageable with gentle, targeted support.

On this page
  1. What it is
  2. What it tends to feel like
  3. What the evidence says helps
  4. Working with your care team

Diastasis recti, often called "abdominal separation," is a very common and expected change in the abdominal muscles during pregnancy. It refers to the widening of the linea alba, the connective tissue that runs down the midline of your abdomen, causing the rectus abdominis muscles (your "six-pack" muscles) to separate.

What it is

This separation is a normal physiological adaptation as your body makes space for your growing baby. Research indicates it affects 60-100% of pregnancies to some degree by the third trimester. While some separation is normal, it's clinically defined as a separation greater than 2.5 centimeters at or above the navel. As a doula, I often see clients feeling surprised by this change, but understanding it as a natural part of pregnancy can bring a sense of calm and clarity.

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What it tends to feel like

Many people describe a "doming" or "coning" sensation when they try to sit up, especially in the second and third trimesters. You might notice a visible ridge down the center of your belly. This can sometimes feel disconcerting, but it's often more about the visual change than a painful one. It's a reminder that your body is expertly adapting to pregnancy. Just as you might experience other body changes like Pregnancy Nosebleeds or even Leaking Colostrum, diastasis recti is another aspect of your body's incredible work.

What the evidence says helps

It's reassuring to know that not all instances of diastasis recti require specific treatment. For many, a mild separation will naturally resolve within about eight weeks after birth. However, for those seeking support, evidence-based approaches can make a significant difference.

Traditional core exercises like crunches and sit-ups can sometimes put extra strain on the linea alba and may even worsen the separation. It's often suggested to avoid these in late pregnancy and the early postpartum period. Instead, the gold-standard approach for support is pelvic floor physiotherapy, which includes specific core rehabilitation. This specialized guidance focuses on restoring the deep core muscles and overall abdominal function. What's most important to understand is that the focus isn't solely on the size of the gap; instead, the strength and function of your core are the key indicators of recovery. This improved core function can also positively impact other areas, like reducing instances of Pregnancy Dizziness and Lightheadedness by supporting overall stability.

Working with your care team

If you have concerns about diastasis recti, or if you notice persistent separation beyond 8-12 weeks postpartum, a referral to a specialist pelvic floor physiotherapist can be incredibly beneficial. They can assess your individual situation and provide a personalized plan. While many online programs and apps offer core exercises, their quality can vary significantly. An in-person or telehealth consultation with a qualified pelvic floor physiotherapist often provides more reliable, personalized guidance tailored to your body and your specific needs. Surgical repair is typically an option considered only for symptomatic cases that haven't responded to dedicated physiotherapy. Your provider is your best resource for your specific situation and can help you explore your options with clarity and confidence.

Common questions

Is diastasis recti normal in pregnancy?+

Yes, some degree of abdominal muscle separation is a normal and expected part of pregnancy. It's a natural adaptation as your body makes space for your growing baby, affecting a significant majority of pregnancies by the third trimester.

Can I prevent diastasis recti?+

While it's a normal physiological change, you can support your core by avoiding traditional crunches and sit-ups in late pregnancy and early postpartum. Focusing on gentle, functional core movements and good posture can be helpful. A pelvic floor physiotherapist can offer personalized guidance.

How is diastasis recti treated?+

For many, mild separation resolves spontaneously after birth. For persistent separation, pelvic floor physiotherapy with specific core rehabilitation is the gold-standard approach. The focus is on restoring core function, not just closing the gap. Surgical repair is a last resort for unresolved symptomatic cases.

Brittany Nance

“Pregnancy is under-supported at every week. This is the kind of clear, calm guidance I give my one-on-one clients — and the questions worth taking back to your provider.”

Brittany Nance · Pregnancy Wellness Consultant · full-spectrum doula

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Written by Brittany Nance, Pregnancy Wellness Consultant· BADT Full Spectrum Doula · Founder, Pregnancy Power Hour
Last reviewed July 15, 2026

This is evidence-informed education from a birth-doula perspective, not medical advice. Always discuss your individual situation with your prenatal care provider.

On this page

  1. What it is
  2. What it tends to feel like
  3. What the evidence says helps
  4. Working with your care team

Keep reading

  • RelatedDiastasis Recti Recovery (3 to 6 months postpartum postpartum)If you're 3 to 6 months postpartum and still noticing abdominal separation or core weakness, this phase is ideal for seeking specialized pelvic floor physiotherapy to support your recovery.
  • RelatedDiastasis Recti Recovery (weeks 2 to 6 postpartum)Weeks 2 to 6 postpartum are a key window for initial diastasis recti healing, focusing on gentle movement and understanding core function.
  • RelatedDiastasis Recti Recovery (weeks 6 to 12 postpartum)In weeks 6 to 12 postpartum, focus on progressive core rehabilitation for diastasis recti, guided by evidence-based practices and professional support.
  • RelatedPelvic Floor DysfunctionPelvic floor dysfunction refers to a range of symptoms caused by weakness or tightness in the muscles supporting your pelvis, common during and after pregnancy.
  • RelatedPregnancy Stretch MarksPregnancy stretch marks, or striae gravidarum, are a common and natural part of the physical changes many bodies experience during pregnancy.
  • RelatedPregnancy Back PainLower back pain and pelvic discomfort are common experiences during pregnancy, often manageable with evidence-based approaches and support.