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. 2025 May 29;25(1):630.
doi: 10.1186/s12884-025-07741-7.

Associations with the inter-recti distance at gestation week 37: a prospective cohort study among healthy pregnant women

Nina-Margrethe Theodorsen  1 , Rolf Moe-Nilssen  2 , Kari Bø  3   4 , Inger Haukenes  2   5
Affiliations

Associations with the inter-recti distance at gestation week 37: a prospective cohort study among healthy pregnant women

Nina-Margrethe Theodorsen et al. BMC Pregnancy Childbirth. .

Abstract

Background: During pregnancy the inter-recti distance (IRD) increases. There is, however, limited knowledge of what factors may contribute to this increase.

Objective: To investigate associations between sociodemographic characteristics, co-existing health conditions and pregnancy related factors in pregnant women before gestation week 20, and IRD at gestation week 37.

Methods: One hundred and twenty pregnant women provided baseline information on sociodemographic characteristics, co-existing health conditions, and pregnancy-related factors. Baseline IRD (gestation week 16-19) and IRD at gestation week 37 (outcome) were measured with ultrasound 2 cm above the umbilicus. Associations between baseline variables and IRD at gestation week 37 were investigated with bivariable regression analyses, and only variables statistically significantly associated with outcome were included in a multivariable linear regression analysis. The level of significance was set at 0.05.

Results: Bivariable associations between baseline variables and IRD at gestation week 37 were statistically significant for BMI, waist circumference, parity, stretch marks (striae), varicose veins and IRD. In the final multivariable linear regression analysis only baseline IRD was significantly associated with IRD at gestation week 37 (B = 0.8, SE = 0.1, 95% CI = 0.6-1.0, P-value < 0.001, R2 = 0.384).

Conclusion: No sociodemographic characteristics, co-existing health conditions or other significant related factors present before gestation week 20 other than baseline IRD was significantly associated with IRD at gestation week 37, with the clinical implication that for each 1 mm increase in baseline IRD, there was an average increase of 0.8 mm in IRD at gestation week 37. Approximately 38% of the variance in IRD at gestation week 37 is explained by baseline IRD and other included variables.

Keywords: Diastasis recti abdominis; Inter-recti distance; Pregnancy; Ultrasonography.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: Ethical approval was given by the Norwegian Regional Ethics Committee (76296 2020/2304). Procedures agreed with the Helsinki Declaration. All participants received oral and written information about the study and signed a consent form prior to inclusion. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

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