Evidence map›Paper›PMID 41659165›Full record

ArticleFrontiers in global women's health2025

Risk factors for diastasis recti abdominis and its correlation with pelvic organ prolapse among postpartum women in southwest China: a retrospective case-control study.

Dehua Wan, Ling Guo, Shuwen Cheng, Ling Ren, Taizhou Qin, Xueping Zhang, Huarong Wang, Zhongyan Zheng, Xiaoqin Gan, Tianjiao Liu and 1 more

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In one paragraph

Article in Frontiers in global women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

11 authors.

Dehua Wan *Guidance Center of Women's Healthcare, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Ling Guo *Guidance Center of Women's Healthcare, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Shuwen ChengDepartment of Chronic and Non-communicable Disease Control and Prevention, Sichuan Center for Disease Control and Prevention, Chengdu, China.
Ling RenDepartment of Gynecology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Taizhou QinGuidance Center of Women's Healthcare, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Xueping ZhangGuidance Center of Women's Healthcare, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Huarong WangGuidance Center of Women's Healthcare, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Zhongyan ZhengGuidance Center of Women's Healthcare, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Xiaoqin GanDepartment of Gynecology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Tianjiao LiuDepartment of Gynecology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Yonghong LinDepartment of Gynecology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diastasis recti abdominis (DRA) is a prevalent postpartum condition characterized by separation of the rectus abdominis muscles. It has been linked to lumbopelvic pain, pelvic floor dysfunction, and urinary incontinence. However, large-scale epidemiological data from Chinese populations and study investigating its relationship with pelvic organ prolapse (POP) are limited. Methods: This is a retrospective case-control study which analyzed 4,426 women at 6th week postpartum at Chengdu Women's and Children's Central Hospital between January 2019 and January 2025. DRA was diagnosed by ultrasonography, and POP was staged using the POP-Q system. Maternal, obstetric, and pelvic floor variables were collected. Independent risk factors of DRA were identified through ordinal logistic regression analyses. Spearman correlation was used to examine the relationship between DRA severity and POP stage. A two-tailed Results: DRA was detected in 65.6% of participants, with 52.6% classified as mild to moderate. High neonatal birth weight (≥3.5 kg) is independent risk factor for DRA (OR 2.43, 95% CI 1.75-3.35). Multiparas were more than twice as likely to develop DRA compared to their nulliparous counterparts (OR 2.67, 95% CI 1.30-5.45). Vaginal delivery (OR 0.45, 95% CI 0.40-0.51) and type I pelvic floor muscle strength grade II to IV were associated with lower risks for DRA. More than half of women in each age group (20-29, 30-39, and ≥40-year-old) presented with both DRA and POP. Spearman analysis showed a significant negative correlation between DRA severity and POP stage ( Conclusion: Diastasis recti abdominis is highly prevalent among Chinese postpartum women and is influenced by parity, birth weight, gestational weight gain, and maternal BMI. Vaginal delivery and moderate (Grade II-IV) strength of Type I pelvic floor muscles were found to be protective against Diastasis Recti Abdominis.

Indexed as

diastasis recti abdominis (DRA)pelvic floor dysfunctionpelvic organ prolapse (POP)postpartum healthcarerisk factors analysis

Identifiers

PMID41659165
PMCPMC12872918

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