Cited by 47Enhanced Recovery After SurgeryMaternal and Perinatal Health InterventionsClinical practice guidelines implementation

Building the evidence base for postoperative and postpartum advice.

Minig, Lucas, Trimble, Edward L., Sarsotti, Carlos, Sebastiani, Mario M., Spong, Catherine Y.·2009·Obstetrics & Gynecology

Abstract

Recommendations for activity after obstetric and gynecologic procedures remain based on tradition and anecdote. After reviewing the current evidence base, guidelines, and practice for postdischarge instructions related to physical activity after the most common obstetric and gynecologic surgical procedures, we conclude that the available data do not support many of the recommendations currently provided. Restrictions on lifting and climbing stairs should likely be abandoned. Guidance on driving should focus on the concern regarding cognitive function and analgesics rather than concerns of wound separation/dehiscence. Given the impact of these recommendations on daily life events, consistent, evidence-based advice on when and how women can safely resume exercise, driving, working, and sexual intercourse is critical. The evidence base informing advice for most of these issues is minimal; we need prospective, well-designed studies to help guide us and our patients.

Integrity signals

Registry

Crossref · 10.1097/aog.0b013e3181b6f50d

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57 of 57 references verified0 citation errors · 0 not checkable

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Authors
Minig, L., Trimble, E. L., Sarsotti, C., Sebastiani, M. M., & Spong, C. Y.
Affiliations
  • United States Department of Health and Human Services (US)
  • National Institutes of Health (US)
Venue
Obstetrics & Gynecology
Published
2009-10
Volume
114
Issue
4
Pages
892-900
ISSN
0029-7844 (ISSN-L)
OpenAlex
W1969011744
Cited by
47
References
57
Citations by year
2026: 2 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 6 · 2016: 1 · 2015: 3 · 2014: 1 · 2013: 2 · 2012: 6
FWCI
2.70
Type
journal article
Language
en
Open access
closed
Locations
  • Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Keywords
postoperative physical activity, postpartum exercise, postoperative care, obstetric surgery, gynecologic surgery, lifting restrictions, stair climbing, cognitive function, analgesics, wound dehiscence, resumption of sexual intercourse, return to work, evidence base
MeSH terms
Automobile Driving, Convalescence, Female, Humans, Patient Education as Topic, Postoperative Complications, Pregnancy, Sexual Behavior, Gynecologic Surgical Procedures, Exercise, Practice Guidelines as Topic, Postpartum Period

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