Building the evidence base for postoperative and postpartum advice.

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.

journal_name

Obstet Gynecol

authors

Minig L,Trimble EL,Sarsotti C,Sebastiani MM,Spong CY

doi

10.1097/AOG.0b013e3181b6f50d

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

892-900

issue

4

eissn

0029-7844

issn

1873-233X

pii

00006250-200910000-00027

journal_volume

114

pub_type

社论
  • Rhabdomyolysis After Hyperemesis Gravidarum.

    abstract:BACKGROUND:Hyperemesis gravidarum may lead to hypovolemia and substantial electrolyte abnormalities, including hypokalemia. Hypokalemia, when profound, may result in rare consequences, such as rhabdomyolysis. CASE:A 20-year-old woman with hyperemesis gravidarum at 19 weeks of gestation presented with extreme leg weakn...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001418

    authors: Lassey SC,Robinson JN

    更新日期:2016-07-01 00:00:00

  • Reduced urinary estriol levels with erythromycin therapy.

    abstract::Several pharmacologic agents are known to interfere with urinary estriol levels in pregnancy. This report implicates erythromycin as yet another agent responsible for such interference. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gallagher JC,Ismail MA,Aladjem S

    更新日期:1980-09-01 00:00:00

  • Prevention of neonatal group B streptococcal infections: advances in maternal vaccine development.

    abstract:OBJECTIVE:We describe the current state of prevention of neonatal group B streptococcal infections and present recent advances toward the development of a maternal vaccine for prevention of this disease. DATA SOURCES:We used a MEDLINE search of the Index Medicus from 1976-1992 for articles regarding group B streptococ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Coleman RT,Sherer DM,Maniscalco WM

    更新日期:1992-08-01 00:00:00

  • Outcomes of intended home births in nurse-midwifery practice: a prospective descriptive study.

    abstract:OBJECTIVE:To describe the outcomes of intended home birth in the practices of certified nurse-midwives. METHODS:Twenty-nine US nurse-midwifery practices were recruited for the study in 1994. Women presenting for intended home birth in these practices were enrolled in the study from late 1994 to late 1995. Outcomes for...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/s0029-7844(98)00182-3

    authors: Murphy PA,Fullerton J

    更新日期:1998-09-01 00:00:00

  • Cephalothoracopagus (Janiceps) twinning.

    abstract::Conjoined twins occur with a frequency of 1/50,000--1/100,000 deliveries. The cephalothoracopagus variety is particularly rare. This paper presents a case report of cephalothoracopagus (Janiceps) twinning, with a detailed pathologic analysis, as well as an historical review and discussion of diagnostic modalities. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wedberg R,Kaplan C,Leopold G,Porreco R,Resnik R,Benirschke K

    更新日期:1979-09-01 00:00:00

  • Use of the progestogen challenge test to reduce the risk of endometrial cancer.

    abstract::In contrast to several retrospective studies reporting an increased risk of endometrial cancer during the mid-1970s, especially in estrogens.gen-treated postmenopausal women, the number of cancers at Wilford Hall USAF Medical Center has steadily declined despite continued estrogen use. In a 4-year study from 1975 to 1...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gambrell RD Jr,Massey FM,Castaneda TA,Ugenas AJ,Ricci CA,Wright JM

    更新日期:1980-06-01 00:00:00

  • Death from pseudomembranous enterocolitis.

    abstract::During the past 2 years at the Los Angeles County-University of Southern California Medical Center (LAC-USC), there have been 2 deaths from pseudomembranous enterocolitis. Each of these deaths occurred postoperatively in previously healthy women who received pronlonged antibiotic prophylasix. The implications of these...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-197506000-00002

    authors: Ledger WJ,Puttler OL

    更新日期:1975-06-01 00:00:00

  • Contemporary Trends in Cesarean Delivery Utilization for Live Births Between 22 0/7 and 23 6/7 Weeks of Gestation.

    abstract:OBJECTIVE:In 2014, the Society for Maternal-Fetal Medicine, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists published an executive summary of a joint workshop to establish obstetric inter...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003106

    authors: Rossi RM,Hall E,DeFranco EA

    更新日期:2019-03-01 00:00:00

  • Fertility sparing treatment for in situ and early invasive adenocarcinoma of the cervix.

    abstract:OBJECTIVE:To explore the outcome and long-term follow-up of fertility sparing surgery for cervical adenocarcinoma in situ and early invasive adenocarcinoma. METHODS:Between 1985 and 1996, all women with adenocarcinoma in situ (AIS) and stage I adenocarcinoma were identified. Data were abstracted from clinical records ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01544-7

    authors: McHale MT,Le TD,Burger RA,Gu M,Rutgers JL,Monk BJ

    更新日期:2001-11-01 00:00:00

  • Extent of surgery for pelvic inflammatory disease in relation to duration of intrauterine device use.

    abstract::The risk of a first episode of pelvic inflammatory disease resulting in extensive surgery was examined in relation to duration of intrauterine device (IUD) use in a case-control study. Extensive surgery for pelvic inflammatory disease was defined as hysterectomy or bilateral adenexal surgery, with pelvic inflammatory ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Stadel BV,Schlesselman S

    更新日期:1984-02-01 00:00:00

  • Bacteriologic effects of antibiotic prophylaxis in high-risk cesarean section.

    abstract::A double-blind placebo-controlled experiment was performed in 100 patients in labor with membrane rupture to determine the bacteriologic effects of antibiotic prophylaxis. Each subject received either 2.0 g cefamandole or placebo after cord clamping and 4 and 8 hours later. The cefamandole group had significantly less...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Gibbs RS,St Clair PJ,Castillo MS,Castaneda YS

    更新日期:1981-03-01 00:00:00

  • Multifetal reduction of triplets and pregnancy outcome.

    abstract::Multifetal pregnancy reduction has been suggested as a strategy to improve pregnancy outcome in grand multiple gestations of three or more fetuses. We prospectively investigated multifetal pregnancy reduction in 13 women with triplet pregnancies in the first trimester following ovulation induction, in vitro fertilizat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Porreco RP,Burke MS,Hendrix ML

    更新日期:1991-09-01 00:00:00

  • Exogenous gonadotropin therapy in World Health Organization groups I and II ovulatory disorders.

    abstract:OBJECTIVE:To analyze cumulative conception rates and the prognostic factors influencing them during exogenous human menopausal gonadotropin (hMG) therapy for World Health Organization (WHO) group I or II ovulatory disorders. METHODS:A retrospective review was conducted of 468 treatment cycles in 146 women with ovulato...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Fluker MR,Urman B,Mackinnon M,Barrow SR,Pride SM,Yuen BH

    更新日期:1994-02-01 00:00:00

  • Intrauterine Device Placement During Cesarean Delivery and Continued Use 6 Months Postpartum: A Randomized Controlled Trial.

    abstract:OBJECTIVE:To compare intrauterine device (IUD) use at 6 months postpartum among women who underwent intracesarean delivery (during cesarean delivery) IUD placement compared with women who planned for interval IUD placement 6 or more weeks postpartum. METHODS:In this nonblinded randomized trial, women who were undergoi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AOG.0000000000000882

    authors: Levi EE,Stuart GS,Zerden ML,Garrett JM,Bryant AG

    更新日期:2015-07-01 00:00:00

  • A maternal and perinatal mortality in pregnancy complicated by the kyphoscoliotic form of Ehlers-Danlos syndrome.

    abstract:BACKGROUND:Ehlers-Danlos syndrome is a group of inherited connective tissue diseases demonstrating autosomal-dominant, autosomal-recessive, and X-linked inheritance patterns. The diagnosis can be established by clinical, biochemical, and genetic findings. CASE:Our nulliparous patient presented with an unspecified diag...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181898cbf

    authors: Esaka EJ,Golde SH,Stever MR,Thomas RL

    更新日期:2009-02-01 00:00:00

  • Antenatal depiction of the fetal ear with three-dimensional ultrasonography.

    abstract:OBJECTIVE:To evaluate the feasibility of examining the fetal ear with three-dimensional ultrasound. METHODS:In 125 pregnancies between 19 and 38 weeks of gestation, fetal ears were evaluated by three-dimensional ultrasound. The volume images with surface rendering were analyzed to depict the morphology, lying axis, or...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00021-0

    authors: Shih JC,Shyu MK,Lee CN,Wu CH,Lin GJ,Hsieh FJ

    更新日期:1998-04-01 00:00:00

  • Point-of-Care Intrapartum Group B Streptococcus Molecular Screening: Effectiveness and Costs.

    abstract:OBJECTIVE:To assess outcomes and costs associated with around-the-clock point-of-care intrapartum group B streptococcus (GBS) polymerase chain reaction (PCR) screening. METHODS:Intrapartum PCR screening was implemented in 2010. Intrapartum PCR was compared with antenatal culture screening in an uncontrolled, single in...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1097/AOG.0000000000003057

    authors: El Helali N,Habibi F,Azria E,Giovangrandi Y,Autret F,Durand-Zaleski I,Le Monnier A

    更新日期:2019-02-01 00:00:00

  • A prospective study investigating the mechanism of thrombocytopenia in preeclampsia.

    abstract::Hemostatic and platelet function studies were performed prospectively on 61 preeclamptic patients and 24 healthy pregnant control patients to delineate possible causes of thrombocytopenia in preeclampsia. Thrombocytopenia occurred in 50% of the preeclamptic patients, and was accompanied by qualitative platelet defects...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Burrows RF,Hunter DJ,Andrew M,Kelton JG

    更新日期:1987-09-01 00:00:00

  • Cordocentesis for the diagnosis and treatment of human fetal parvovirus infection.

    abstract::Human parvovirus B-19 infection was diagnosed by DNA hybridization in blood obtained by cordocentesis from two hydropic fetuses at 22 and 26 weeks' gestation; B-19-specific immunoglobulin M (IgM) in fetal blood was negative in both cases. Hematologic studies demonstrated severe anemia, which was treated by intravascul...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Peters MT,Nicolaides KH

    更新日期:1990-03-01 00:00:00

  • Correlation of cellular atypia and human papillomavirus deoxyribonucleic acid sequences in exfoliated cells of the uterine cervix.

    abstract::Restriction enzyme digestion and Southern blot hybridization were used to analyze deoxyribonucleic acid (DNA) extracted from exfoliated cervical cells for the presence of human papillomavirus sequences and these results were correlated with cytologic findings on Papanicolaou smears. Specimens (N = 204) were obtained f...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lörincz AT,Temple GF,Patterson JA,Jenson AB,Kurman RJ,Lancaster WD

    更新日期:1986-10-01 00:00:00

  • Predicting painful or difficult intrauterine device insertion in nulligravid women.

    abstract:OBJECTIVE:To assess the relationship of preinsertion vaginal ultrasound assessment and menstrual and gynecologic history as predictors of difficult or painful intrauterine device insertion in nulligravid women. METHODS:Nulligravid women seeking contraception were invited to participate in this nonrandomized study and ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000362

    authors: Kaislasuo J,Heikinheimo O,Lähteenmäki P,Suhonen S

    更新日期:2014-08-01 00:00:00

  • Birth-weight-for-gestational-age patterns by race, sex, and parity in the United States population.

    abstract:OBJECTIVES:To describe birth-weight-for-gestational-age patterns by race, sex, and parity in the United States population, and to discuss the measurements of gestational age by different methods, the pitfalls of each method, and the potential effects of the errors on birth-weight-for-gestational-age curves. METHODS:We...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(95)00142-e

    authors: Zhang J,Bowes WA Jr

    更新日期:1995-08-01 00:00:00

  • Early diagnosis of spina bifida: the value of cranial ultrasound markers.

    abstract::Ultrasonography plays an integral part in the prenatal diagnosis of neural tube defects. However, experienced sonographers with careful evaluation are successful in accurately diagnosing spina bifida only 80-90% of the time. This study was conducted to evaluate the accuracy and reliability of certain cranial ultrasoun...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Thiagarajah S,Henke J,Hogge WA,Abbitt PL,Breeden N,Ferguson JE

    更新日期:1990-07-01 00:00:00

  • The effect of double gloving on frequency of glove perforations.

    abstract:OBJECTIVE:The purposes of this prospective investigation were to determine the frequency of glove perforation during obstetric and gynecologic procedures and to assess the value of double gloving in preventing damage to the inner glove. METHODS:During a 2-month period, surgeons in the Department of Obstetrics and Gyne...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Bennett B,Duff P

    更新日期:1991-12-01 00:00:00

  • Prevalence of Human Papillomavirus in Self-Collected Cervicovaginal Swabs in Young Women in the United States Between 2003 and 2012.

    abstract:OBJECTIVE:To evaluate whether there was a change in prevalence of human papillomavirus (HPV) in the United States correlated with the introduction of HPV vaccines in both vaccinated and unvaccinated women. METHODS:We performed a retrospective review of prevalence data for women aged 18-29 years living in the United St...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001760

    authors: Tarney CM,Klaric J,Beltran T,Pagan M,Han J

    更新日期:2016-12-01 00:00:00

  • Barriers to Evidence-Based Transgender Care: Knowledge Gaps in Gender-Affirming Hysterectomy and Oophorectomy.

    abstract::Reversal of gender-discriminatory insurance coverage policies has led to a substantial increase in access to gender-affirming surgical care in the United States over the past 20 years. Although the evidence supports the safety, feasibility, and medical necessity of gender-affirming hysterectomy and oophorectomy, there...

    journal_title:Obstetrics and gynecology

    pub_type: 社论

    doi:10.1097/AOG.0000000000003472

    authors: Reilly ZP,Fruhauf TF,Martin SJ

    更新日期:2019-10-01 00:00:00

  • Endocervical strip biopsy instrument: an alternative to endocervical curettage.

    abstract::The endocervical strip biopsy instrument obtains strips of endocervical epithelium with attached cervical stroma without excessive bleeding or discomfort to the patient. The intact specimen allows a precise histologic evaluation of endocervical disease processes in patients with abnormal cervical cytology or endometri...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Ostergard DR

    更新日期:1980-11-01 00:00:00

  • Mixed germ cell malignancy of the ovary concurrent with pregnancy.

    abstract:BACKGROUND:A rare malignant germ cell tumor of the ovary during pregnancy was detected by screening of maternal serum alpha-fetoprotein (MSAFP). Treatment of this uncommon tumor during pregnancy incorporated combination chemotherapy including etoposide. CASE:An 18-year-old primiparous woman undergoing antenatal geneti...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Horbelt D,Delmore J,Meisel R,Cho S,Roberts D,Logan D

    更新日期:1994-10-01 00:00:00

  • Prevention of learning deficit in a Down syndrome model.

    abstract:OBJECTIVE:To evaluate whether peptides given to adult mice with Down syndrome prevent learning deficits, and to delineate the mechanisms behind the protective effect. METHODS:Ts65Dn mice were treated for 9 days with peptides D-NAPVSIPQ (NAP)+D-SALLRSIPA (SAL) or placebo, and wild-type animals were treated with placebo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182051ca5

    authors: Incerti M,Toso L,Vink J,Roberson R,Nold C,Abebe D,Spong CY

    更新日期:2011-02-01 00:00:00

  • Methotrexate treatment of unruptured ectopic pregnancy: a report of 100 cases.

    abstract::In an ongoing clinical trial, 100 patients with an unruptured ectopic pregnancy of 3.5 cm or less in greatest dimension were treated with an outpatient protocol of methotrexate and citrovorum factor chemotherapy. Methotrexate and citrovorum were given on alternating days until the hCG titer had decreased by 15% on 2 c...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Stovall TG,Ling FW,Gray LA,Carson SA,Buster JE

    更新日期:1991-05-01 00:00:00