Diastasis Recti indicated by the dissociation of the recti muscles is a common condition in pregnant and recently delivered females, typical in 2nd and 3rd trimester.

Objective: To find out the epidemiology and related etiologies of diastasis recti among multiparous females.

Methodology: Cross-sectional study was conducted with the sample size of 366. Data were collected from multiparous females of District Gujrat through non probability convenient sampling. Demographic data, data related to risk factors, urinary incontinence and hypermobility were collected through a Pro forma, ICIQ-UI SF questionnaire and Beighton Score Scale respectively. To measure the DRAM, finger width palpation test and Vernier Caliper was used. Data were analyzed through Statistical Package for Social Sciences (SPSS) version 24 and interpreted using chi-square test.

Results: The results of this study indicated that DRA was present in 22.7% multiparous females. 47% females with cesarean sections had diastasis. 6.3% females had DRA above, 22.1% females had at umbilicus and 3.5% females had below umbilicus level. Association of mode of delivery with DRA was found statistically significant (χ2 =13.21, p- value <0.001). Age, BMI, number of births, hypermobility and urinary incontinence was not associated with DRA significantly.

Conclusion: The study concluded quite significant prevalence of diastasis recti abdominis among multiparous females at six or more than six months postpartum period. Mode of delivery was found associated with DRA whereas no association was found between DRA and age, BMI, number of births, hypermobility and urinary incontinence.

Keywords: Diastasis recti abdominis, postpartum, inter-rectus distance, finger width palpation