Increasing the Capacity of Midwives in Managing Diastasis Recti Abdominalis in Postpartum Care Based on Evidence-Based Practice
DOI:
https://doi.org/10.58526/jsret.v5i3.1168Keywords:
Diastasis Recti AbdominalisAbstract
Diastasis Recti Abdominalis (DRA) is a postpartum musculoskeletal problem that is often overlooked, even though it poses a risk of reducing the quality of life of postpartum mothers. Midwives as the frontline of postpartum care need to have the capacity to detect and provide safe initial management. This Community Service (PKM) activity aims to improve midwives' knowledge and clinical skills in DRA management through structured Postnatal Yoga technique training. The service partner is the Indonesian Midwives Association (IBI) Branch X which involves 30 independent practicing midwives. The implementation method uses interactive lectures, manual detection demonstrations, and postpartum yoga movement modification workshops. Evaluation of the activity was carried out using pre-test and post-test knowledge instruments. The results of the activity showed a significant increase in the average midwives' knowledge score from 58.3 (poor category) to 87.5 (good category) after the training (p < 0.001). All participants (100%) were also able to demonstrate DRA screening and guide functional yoga movements correctly and safely. This capacity building is expected to optimize the quality of comprehensive postpartum care at the primary care level.
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A-d, D. G., & A-c, A. T. (2018). Exercises for pregnant and postpartum women with diastasis recti abdominis – literature review Ćwiczenia u kobiet w ciąży i po porodzie z rozstępem mięśnia prostego brzucha – przegląd piśmiennictwa. 3, 27–35.
Benjamin, D. R., van de Water, A. T. M., & Peiris, C. L. (2014). Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: A systematic review. Physiotherapy (United Kingdom), 100(1), 1–8. https://doi.org/10.1016/j.physio.2013.08.005
Cavalli, M., Aiolfi, A., Bruni, P. G., Manfredini, L., Lombardo, F., Bonfanti, M. T., Bona, D., & Campanelli, G. (2021). Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation. Hernia, 25(4), 883–890. https://doi.org/10.1007/s10029-021-02468-8
Du, Y., Huang, M., Wang, S., Yang, L., Lin, Y., Yu, W., Pan, Z., & Ye, Z. (2025). Diastasis recti abdominis : A comprehensive review. Hernia, 29(1), 1–12. https://doi.org/10.1007/s10029-025-03417-5
Estiani, M. (2022). Pelatihan Mengenalkan Diastasis Rektus Abdominis pada Tenaga Kesehatan di Desa Talang Jawa UPTD Puskesmas Tanjung Agung. 3(April), 287–302.
Keramidas, E., Rodopoulou, S., & Gavala, M. I. (2022). A Proposed Classification and Treatment Algorithm for Rectus Diastasis: A Prospective Study. Aesthetic Plastic Surgery, 46(5), 2323–2332. https://doi.org/10.1007/s00266-021-02739-w
Lin, S., Lu, J., Wang, L., Zhang, Y., Zhu, C., & Qian, S. (2024). Prevalence and risk factors of diastasis recti abdominis in the long-term postpartum : a cross- sectional study. 1–12.
Nahabedian, M. Y. (2018). Management Strategies for Diastasis Recti.
Pada, A., Post, I. B. U., Di, P., & Kerja, W. (2018). FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DIASTASIS REKTI. 5(2355), 24–31.
Sperstad, J. B., Tennfjord, M. K., Hilde, G., Ellström-Engh, M., & Bø, K. (2016). Diastasis recti abdominis during pregnancy and 12 months after childbirth: Prevalence, risk factors and report of lumbopelvic pain. British Journal of Sports Medicine, 50(17), 1092–1096. https://doi.org/10.1136/bjsports-2016-096065
Spitznagle, T. M., Leong, F. C., & Van Dillen, L. R. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal, 18(3), 321–328. https://doi.org/10.1007/s00192-006-0143-5
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