ArticleFrontiers in medicine2026
Impact of delivery mode on diastasis recti abdominis, pelvic floor muscle function, and quality of life in early postpartum women: a cross-sectional study.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The early postpartum period is critical for maternal recovery. This study aimed to investigate the impact of delivery mode on diastasis recti abdominis (DRA), pelvic floor muscle strength, sleep quality, and overall quality of life at 6-8 weeks postpartum. Methods: A cross-sectional study was conducted among 196 primiparous postpartum women, including 100 vaginal deliveries and 96 caesarean sections. DRA severity was assessed by measuring the inter-recti distance using clinical palpation and high-frequency ultrasound. Pelvic floor muscle strength was evaluated using a perineometer. Sleep quality and quality of life were assessed using the Pittsburgh Sleep Quality Index and the WHOQOL-BREF questionnaire, respectively. Results: Women who underwent caesarean section exhibited a higher prevalence of DRA ( Conclusion: Delivery mode is associated with distinct postpartum recovery trajectories. Caesarean section is associated with more severe DRA and poorer early postpartum quality of life, whereas vaginal delivery is specifically associated with weaker fast-twitch pelvic floor muscles. Sleep quality is a primary determinant of maternal wellbeing, highlighting the need for delivery-mode-tailored, multidisciplinary postpartum rehabilitation with sleep support as an integral component of care.
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