Dyspareunia in postpartum women with Diastasis Rectus Abdominis
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INTRODUCTION: Diastasis Rectus Abdominis (DRA) is the separation of the rectus abdominal muscles along the linea alba, determined by the inter-rectus distance (IRD) being greater than or equal to 2 finger-widths. Dyspareunia is pain with sexual intercourse. There are no correlative studies to determine if DRA causes dyspareunia after pregnancy. PURPOSE: This study aimed to investigate if there is a correlation between DRA and dyspareunia among women 6-10 weeks postpartum. METHODS: In this retrospective study, participants were postpartum women ages 18-40. Exclusion criteria included current physical therapy treatment for DRA, cesarean section, or connective tissue disorder. The participants completed the Pelvic Floor Disability Index (PFDI-20). A telehealth visit instructed participants on the self-palpation method to measure the inter-rectus distance in order to determine if they have a DRA. Participants then completed an in-person measurement of their inter-rectus distance using ultrasound, the gold standard for determining the presence of DRA. The participants then completed the Pelvic Organ Prolapse Urinary Incontinence Sexual Function Questionnaire (PISQ-31). RESULTS: Results will be analyzed in March as the data collection is still taking place. CONCLUSION: Data collection is currently being completed until March 2024. Our hypothesis states that postpartum women with diastasis rectus abdominis will develop dyspareunia at a higher rate than women without diastasis rectus abdominis. This research study will be conducted using a cross-sectional study design and will use qualitative content analysis of a descriptive questionnaire sent out to all participants via email.
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Research completed in the Department of Physical Therapy, College of Health Professions.
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v. 20

