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As the mother’s belly gets bigger, as her baby grows, how are the abdominal muscles able to stretch?

As the uterus grows and the abdomen distends, the actual muscles of the abdominal wall increase in size. Since it’s over a long period of time, the body compensates very nicely.

Women who have had more than one or two pregnancies will sometimes get a separation of the muscles that run up and down the mother’s abdomen and the rectal muscles. It usually doesn’t happen in first-time pregnancies, but it can.

In general, though, these muscle tissues as well as the facia, which is a strong tissue underneath the skin and fat, are made to stretch very, very slowly and can accommodate the very large uterus.