Maternal activity restriction and the prevention of preterm birth
Abstract
Activity restriction is 1 of the most common interventions used in obstetrics. Although it is used for many reasons, 1 of the most common is to prevent preterm birth in those at risk. This review of the literature describes the potential advantages, disadvantages, and efficacy of activity restriction for the prevention of preterm birth.
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Hypertensive disorders of pregnancy, PPROM, multiple gestations, vaginal bleeding, short cervical length, placenta previa, and fetal growth restriction are common reasons for antepartum hospital admission and frequently lead to a recommendation for activity restriction.
“Hypertensive disorders of pregnancy, preterm premature rupture of membranes, multiple gestations, vaginal bleeding, short cervical length, placenta previa, and fetal growth restriction are also common reasons for antepartum hospital admission and frequently lead to a recommendation for activity restriction.”
From Society for Maternal-Fetal Medicine Consult Series #50: The role of activity restriction in obstetric management (2020) · cites this paper as [7]
Activity restriction confers significant physical and psychosocial risks.
“does confer significant physical and psychosocial risks”
From Society for Maternal-Fetal Medicine Consult Series #50: The role of activity restriction in obstetric management (2020) · cites this paper as [7]
Continued clinical use of bed rest appears to be an international phenomenon.
“Continued clinical use of bed rest appears to be an international phenomenon.”
From Society for Maternal-Fetal Medicine Consult Series #50: The role of activity restriction in obstetric management (2020) · cites this paper as [7]
Prolonged bed rest has a potential increased risk of thromboembolic events.
“Another serious concern with prolonged bed rest is the potential increased risk of thromboembolic events.7,9,10”
From Society for Maternal-Fetal Medicine Consult Series #50: The role of activity restriction in obstetric management (2020) · cites this paper as [7]
There is no evidence to support the use of activity restriction during pregnancy at home or in hospital.
“There is no evidence to support the use of activity restriction during pregnancy at home or in hospital, and practitioners should not assume efficacy for bed-rest treatment until evidence is produced [9,10,18,19].”
From Lack of evidence for prescription of antepartum bed rest (2011) · cites this paper as [9]
The severity of adverse effects of bed rest appears to be directly proportional to the severity of restriction.
“Since the severity of adverse effects appears to be directly proportional to the severity of restriction, a consistent and precise definition of bed rest or activity restriction that uses the ratio, rather than categorical, level of measurement for the length of bed rest is needed [9,11].”
From Lack of evidence for prescription of antepartum bed rest (2011) · cites this paper as [9]
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- Authors
- Sciscione, A. C.
- Affiliations
- Christiana Hospital (US)
- Corresponding author
- Sciscione, Anthony C.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2010-03
- Volume
- 202
- Issue
- 3
- Pages
- 232.e1-232.e5
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2009806579
- Cited by
- 79
- References
- 63
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 6 · 2020: 6 · 2019: 4 · 2018: 3 · 2017: 8 · 2016: 10 · 2015: 6 · 2014: 5 · 2013: 8 · 2012: 5
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- preterm birth prevention, preterm labor, high-risk pregnancy, bed rest, obstetric surgery, intervention efficacy
- MeSH terms
- Bed Rest, Female, Humans, Obstetric Labor, Premature, Motor Activity, Muscular Atrophy, Pregnancy, Stress, Psychological, Twins, Women, Working, Bone Density, Premature Birth, Venous Thromboembolism
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