Citation

Minig L, Trimble EL, Sarsotti C, Sebastiani MM, Spong CY. Obstet. Gynecol. 2009; 114(4): 892-900.

Affiliation

Division of Cancer Treatment and Diagnosis, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA. lucasminig@yahoo.com

Copyright

(Copyright © 2009, Lippincott Williams & Wilkins)

DOI

10.1097/AOG.0b013e3181b6f50d

PMID

19888050

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.

Language: en