Patient-Reported Outcomes in Women With Postpartum Abdominal Wall Insufficiency (PPAWIS)

Inclusion Criteria: * Female, age 18-65 years * Postpartum status: at least 6 months after last delivery * Clinical diagnosis of postpartum abdominal wall insufficiency syndrome (PPAWIS), defined by abdominal wall dysfunction symptoms and/or significant quality-of-life impact, with supportive findings on physical examination and/or imaging (e.g., diastasis recti and/or related abdominal wall insufficiency features) * Receiving routine clinical care for PPAWIS at the study site (surgical) * Able and willing to provide informed consent and complete patient-reported outcome questionnaires at baseline and follow-up Exclusion Criteria: * Current pregnancy * Planned pregnancy during the follow-up period (up to 12 months), if expected to interfere with outcome assessment * Inability to complete questionnaires due to cognitive impairment or insufficient language proficiency in the validated questionnaire language version * Severe uncontrolled psychiatric condition that, in the investigator's opinion, would prevent informed consent or reliable questionnaire completion * Participation in another interventional study that could materially affect patient-reported outcomes related to abdominal wall function during the follow-up period