Physical Exercise Intervention in Postpartum Mothers with Diastasis Recti Abdominis: A Literature Review
##plugins.themes.academic_pro.article.main##
Abstract
Background: The postpartum period is the most crucial phase for mothers after giving birth. One of the problems that can arise is diastasis recti abdominis, which causes instability in the torso and pelvis, leading to symptoms such as abdominal pain, back pain, and hip pain. Treatment of diastasis recti abdominis with physical exercise is believed to reduce adverse effects and provide benefits for postpartum mothers.
Objective: This study aims to analyze the intervention of abdominal rectus diastasis in postpartum mothers as a treatment for abdominal rectus diastasis.
Method: Literature search through databases such as PubMed and Google Scholar, with a publication period of 2022-2026. The inclusion criteria were articles in English, Indonesian, open access, experimental approach, traditional exercise intervention, and from accredited or indexed journals.
Conclusion: Hypopressive and conventional abdominal exercises, split tummy exercises, plank exercises, belly binding and abdomen exercises, and postpartum exercises are effective in reducing rectus diastasis in postpartum women. In addition, curl-up exercises have a positive effect on the strength and thickness of the abdominal muscles of postpartum women with diastasis recti.
##plugins.themes.academic_pro.article.details##

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
- 1. Aprilia P, Putri MR, Yunaspi D. The Relationship Between The Role Of The Midwife And Distance To Health Facilities With Postpartum Visits In Puskesmas Working Area Tanjung Buntung Batam City In 2023. J Qual Women ’ s [Internet]. 2024;6660:69–77. Available from: https://doi.org/10.30994/jqwh.v7i1.233
- 2. Rinjani M, Wahyuni I, Xanda AN, Oktavia LD, Estiyani A, Safitri O. Asuhan Kebidanan pada Masa Nifas dan Menyusui Berdasarkan Evidence Based: Teori dalam Praktik Kebidanan Profesional [Internet]. Penerbit Salemba; 2024. Available from: https://books.google.co.id/books?id=fKgNEQAAQBAJ
- 3. Chauhan G, Tadi P. Physiology, Postpartum Changes. In: StatPearls Publishing [Internet]. Treasure Island (FL); 2025. Available from: https://www.ncbi.nlm.nih.gov/books/NBK555904/
- 4. Beamish NF, Davenport MH, Ali MU, Gervais MJ, Sjwed TN, Bains G, et al. Impact of postpartum exercise on pelvic floor disorders and diastasis recti abdominis: a systematic review and meta-analysis. Br J Sports Med [Internet]. 2025 Mar;59(8):562–75. Available from: https://doi.org/10.1136/bjsports-2024-108619
- 5. Meyling MMG, Frieling ME, Vervoort JPM, Feijen-de Jong EI, Jansen DEMC. Health problems experienced by women during the first year postpartum: A systematic review. Eur J midwifery [Internet]. 2023;7:42. Available from: https://doi.org/10.18332/ejm/173417
- 6. Levytskyy I, Kinash N, Ostafiichuk S, Drohomyretska N. Prevalence of Diastasis Recti Abdominis Among Women in the Postpartum Period. Arch Clin Med [Internet]. 2024 Jun 25;30(1 SE-Original Research):41–3. Available from: https://ifnmujournal.com/acm/article/view/acm2024115
- 7. Lin S, Lu J, Wang L, Zhang Y, Zhu C, Qian S, et al. Prevalence and risk factors of diastasis recti abdominis in the long-term postpartum: a cross-sectional study. Sci Rep [Internet]. 2024;14(1):25640. Available from: https://doi.org/10.1038/s41598-024-76974-x
- 8. Du Y, Huang M, Wang S, Yang L, Lin Y, Yu W, et al. Diastasis recti abdominis: A comprehensive review. Hernia [Internet]. 2025 Jul;29(1):222. Available from: https://doi.org/10.1007/s10029-025-03417-5
- 9. Fitriani H, Setyowati S, Afiyanti Y, Rustina Y. Ketidaknyamanan Pasca Persalinan: Analisis Konseptual Dampak Diastasis Rectus Abdominis (Dra) Terhadap Ibu Postpartum. Media Penelit dan Pengemb Kesehat [Internet]. 2025 Mar 18;35(1 SE-Articles):245–61. Available from: https://doi.org/10.34011/jmp2k.v35i1.2671
- 10. Suparyanto T, Sugesti R, Yolandia RA. Efektivitas Pemakaian Korset dan Senam Nifas Terhadap Diastasis Rekti Abdominal Pada Ibu Postpartum di RS Krakatau Medika Tahun 2023. 2024;4:6141–50. Available from: https://doi.org/10.31004/innovative.v4i3.11059
- 11. Chen B, Zhao X, Hu Y. Rehabilitations for maternal diastasis recti abdominis: An update on therapeutic directions. Heliyon [Internet]. 2023;9(10):e20956. Available from: https://doi.org/10.1016/j.heliyon.2023.e20956
- 12. Abdullah, Rehman KA, Ahmad B, Arshad MK, Saeed H, Keen MA, et al. Comparative Efficacy of Abdominal Exercises and Abdominal Binding on Diastasis Recti Abdominis Reduction in Postpartum Women: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Physiother Res Int [Internet]. 2025 Apr;30(2):e70038. Available from: https://doi.org/10.1002/pri.70038
- 13. Carlstedt A, Bringman S, Egberth M, Emanuelsson P, Olsson A, Petersson U, et al. Management of diastasis of the rectus abdominis muscles: recommendations for swedish national guidelines. Scand J Surg [Internet]. 2021 Sep;110(3):452–9. Available from: https://doi.org/10.1177/1457496920961000
- 14. Qu E, Wu J, Zhang M, Wu L, Zhang T, Xu J, et al. The ultrasound diagnostic criteria for diastasis recti and its correlation with pelvic floor dysfunction in early postpartum women. Quant Imaging Med Surg [Internet]. 2021;11(2). Available from: https://doi.org/10.21037/qims-20-596
- 15. Radhakrishnan M, Ramamurthy K. Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis — A Scoping Review on the Current Trends and Future Perspectives. Diagnostics [Internet]. 2022;12(9). Available from: https://doi.org/10.3390/diagnostics12092044
- 16. Gluppe S, Engh ME, Bø K. What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis. Brazilian J Phys Ther [Internet]. 2021;25(6):664–75. Available from: https://doi.org/10.1016/j.bjpt.2021.06.006
- 17. Gluppe SB, Ellström Engh M, Bø K. Curl-up exercises improve abdominal muscle strength without worsening inter-recti distance in women with diastasis recti abdominis postpartum: a randomised controlled trial. J Physiother [Internet]. 2023 Jul;69(3):160–7. Available from: https://doi.org/10.1016/j.jphys.2023.05.017
- 18. Lisnaini L. Effect of plank exercise on diastasis recti abdominis below umbilicus in postpartum women. Int J Med Exerc Sci [Internet]. 2022;8(1):1219–27. Available from: https://repository.uki.ac.id/id/eprint/7485
- 19. Soto-González M, Da Cuña-Carrera I, Lantarón-Caeiro EM, Pascoal AG. Effect of hypopressive and conventional abdominal exercises on postpartum diastasis recti: A randomized controlled trial. PLoS One [Internet]. 2024;19(12):e0314274. Available from: https://doi.org/10.1371/journal.pone.0314274
- 20. Sophia S, Nurhayati F, Nurhasanah R. The Effect of Belly Binding and Abdomen Exercise on Reducing Diastasis Recti Abdominis in Postpartum Mothers. J Keperawatan Komprehensif (Comprehensive Nurs Journal) [Internet]. 2023;9(SpecialEdition). Available from: https://doi.org/10.33755/jkk.v9iSpecial Edition.531
- 21. Shohaimi S, Husain NRN, Zaki FM, Atan IK. Split Tummy Exercise Program for Reducing Diastasis Recti in Postpartum Primigravidae: A Randomized Controlled Trial. Korean J Fam Med [Internet]. 2023 Mar;44(2):102–8. Available from: https://doi.org/10.4082/kjfm.22.0035
- 22. Erlina F, Ningrum NW, Zulfadhilah M, Friscilla I. Efektifitas Senam Nifas Terhadap Kejadian Diastasis Rectus Abdominalis Di Wilayah Puskesmas Martapura 2. J Healthc Technol Med [Internet]. 2025;11(2):130–4. Available from: https://doi.org/10.33143/jhtm.v11i2.5480