Building the evidence base for postoperative and postpartum advice

Lucas Minig, Edward L. Trimble, Carlos Sarsotti, Mario M. Sebastiani, Catherine Y. Spong

Research output: Contribution to journalComment/debatepeer-review

26 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)892-900
Number of pages9
JournalObstetrics and gynecology
Volume114
Issue number4
DOIs
StatePublished - Oct 1 2009
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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