Many pregnant women worry about separation of their abdominal muscles during pregnancy, so it’s a good idea to understand what it is, why it occurs and how you can manage it.
DRAM stands for diastasis of the rectus abdominis muscles and refers to the separation of the linea alba, or connective tissue, that joins the 2 strips of the rectus abdominis muscles, down the centre of the abdomen.
DRAM has several contributing factors. One is existing abdominal weakness, hence the rationale behind strengthening the muscles of your abdomen prior to falling pregnant. Two is weight gain, providing yet another reason to aim to keep your gestational weight within a healthy range. Three is hormonal changes and the influence of this one varies between different women, just like the degree of morning sickness you experience, or the shape and size of your baby bump. Four is the pressure your growing baby is exerting on your abdominal wall, which can be less or more depending on the size of your bub, where it sits in utero and of course if you are carrying twins. Factors one and two you can manipulate to some extent, three and four are pretty much beyond your control.