{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T16:48:40Z","timestamp":1793638120843,"version":"4.5.1"},"reference-count":46,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["ajog.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Obstetrics and Gynecology"],"published-print":{"date-parts":[[2020,8]]},"DOI":"10.1016\/j.ajog.2020.04.031","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T20:30:15Z","timestamp":1588105815000},"page":"B2-B10","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":46,"title":["Society for Maternal-Fetal Medicine Consult Series #50: The role of activity restriction in obstetric management"],"prefix":"10.1016","volume":"223","author":[{"given":"Jhenette","family":"Lauder","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Sciscione","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Biggio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Osmundson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajog.2020.04.031_bib1","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1097\/AOG.0b013e318293f12f","article-title":"\u201cTherapeutic\u201d bed rest in pregnancy: unethical and unsupported by data","volume":"121","author":"McCall","year":"2013","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib2","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1097\/00044067-200205000-00010","article-title":"Inactivity: symptoms associated with gastrocnemius muscle disuse during pregnancy","volume":"13","author":"Maloni","year":"2002","journal-title":"AACN Clin Issues"},{"key":"10.1016\/j.ajog.2020.04.031_bib3","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1177\/1099800403260307","article-title":"Antepartum bed rest: maternal weight change and infant birth weight","volume":"5","author":"Maloni","year":"2004","journal-title":"Biol Res Nurs"},{"key":"10.1016\/j.ajog.2020.04.031_bib4","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1016\/j.bone.2006.11.018","article-title":"Effect of bed rest during pregnancy on bone turnover markers in pregnant and postpartum women","volume":"40","author":"Kaji","year":"2007","journal-title":"Bone"},{"key":"10.1016\/j.ajog.2020.04.031_bib5","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1067\/mob.2000.105405","article-title":"The prevalence of thromboembolic events among women with extended bed rest prescribed as part of the treatment for premature labor or preterm premature rupture of membranes","volume":"182","author":"Kovacevich","year":"2000","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib6","first-page":"131","article-title":"Bed rest in pregnancy","volume":"84","author":"Goldenberg","year":"1994","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib7","doi-asserted-by":"crossref","first-page":"232.e1","DOI":"10.1016\/j.ajog.2009.07.005","article-title":"Maternal activity restriction and the prevention of preterm birth","volume":"202","author":"Sciscione","year":"2010","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib8","doi-asserted-by":"crossref","first-page":"e155","DOI":"10.1097\/AOG.0000000000001711","article-title":"Practice bulletin no. 171: management of preterm labor","volume":"128","year":"2016","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib9","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1586\/eog.11.28","article-title":"Lack of evidence for prescription of antepartum bed rest","volume":"6","author":"Maloni","year":"2011","journal-title":"Expert Rev Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib10","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1097\/GRF.0000000000000048","article-title":"Maternal activity restriction in pregnancy and the prevention of preterm birth: an evidence-based review","volume":"57","author":"McCarty-Singleton","year":"2014","journal-title":"Clin Obstet Gynaecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib12","doi-asserted-by":"crossref","first-page":"165.e1","DOI":"10.1016\/j.ajog.2008.08.007","article-title":"The recommendation for bed rest in the setting of arrested preterm labor and premature rupture of membranes","volume":"200","author":"Fox","year":"2009","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib13","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1038\/sj.jp.7211359","article-title":"A randomized multicenter study to determine the efficacy of activity restriction for preterm labor management in patients testing negative for fetal fibronectin","volume":"25","author":"Elliott","year":"2005","journal-title":"J Perinatol"},{"key":"10.1016\/j.ajog.2020.04.031_bib14","first-page":"54","article-title":"The West Los Angeles Preterm Birth Prevention Project. I. Program impact on high-risk women","volume":"170","author":"Hobel","year":"1994","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib15","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1177\/0884217504268523","article-title":"The evolution of bed rest as a clinical intervention","volume":"33","author":"Sprague","year":"2004","journal-title":"J Obstet Gynecol Neonat Nurs"},{"key":"10.1016\/j.ajog.2020.04.031_bib16","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1515\/jpm-2013-0347","article-title":"Recommendations of activity restriction in high-risk pregnancy scenarios: a Danish national survey","volume":"43","author":"Bendix","year":"2015","journal-title":"J Perinat Med"},{"key":"10.1016\/j.ajog.2020.04.031_bib17","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1016\/S1701-2163(15)30588-0","article-title":"Diagnosis, evaluation, and management of the hypertensive disorders of pregnancy: executive summary","volume":"36","author":"Magee","year":"2014","journal-title":"J Obstet Gynaecol Can"},{"key":"10.1016\/j.ajog.2020.04.031_bib18","doi-asserted-by":"crossref","first-page":"l5119","DOI":"10.1136\/bmj.l5119","article-title":"Diagnosis and management of hypertension in pregnancy: summary of updated NICE guidance","volume":"366","author":"Webster","year":"2019","journal-title":"BMJ"},{"key":"10.1016\/j.ajog.2020.04.031_bib19","doi-asserted-by":"crossref","first-page":"2136","DOI":"10.1080\/14767058.2017.1337738","article-title":"Activity restriction and risk of preterm delivery","volume":"31","author":"Levin","year":"2018","journal-title":"J Matern Fetal Neonatal Med"},{"key":"10.1016\/j.ajog.2020.04.031_bib20","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1097\/AOG.0b013e3182917529","article-title":"Activity restriction among women with a short cervix","volume":"121","author":"Grobman","year":"2013","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib21","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1055\/s-2006-958164","article-title":"Does hospitalization prevent preterm delivery in the patient with a short cervix?","volume":"24","author":"Fox","year":"2007","journal-title":"Am J Perinatol"},{"key":"10.1016\/j.ajog.2020.04.031_bib22","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0198949","article-title":"Quantitative assessment of physical activity in pregnant women with sonographic short cervix and the risk for preterm delivery: a prospective pilot study","volume":"13","author":"Zemet","year":"2018","journal-title":"PLoS One"},{"key":"10.1016\/j.ajog.2020.04.031_bib23","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/S0002-9378(12)80005-6","article-title":"A randomized prospective comparison of nifedipine and bed rest versus bed rest alone in the management of preeclampsia remote from term","volume":"167","author":"Sibai","year":"1992","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib24","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1016\/0002-9378(94)90104-X","article-title":"Aggressive versus expectant management of severe preeclampsia at 28 to 32 weeks\u2019 gestation: a randomized controlled trial","volume":"171","author":"Sibai","year":"1994","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib25","first-page":"CD005939","article-title":"Rest during pregnancy for preventing pre-eclampsia and its complications in women with normal blood pressure","volume":"2006","author":"Meher","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajog.2020.04.031_bib26","first-page":"CD000110","article-title":"Hospitalisation and bed rest for multiple pregnancy","volume":"2010","author":"Crowther","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajog.2020.04.031_bib27","first-page":"CD012031","article-title":"Bed rest with and without hospitalisation in multiple pregnancy for improving perinatal outcomes","volume":"3","author":"da Silva Lopes","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajog.2020.04.031_bib28","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1177\/1099800406291455","article-title":"Multiple gestation: side effects of antepartum bed rest","volume":"8","author":"Maloni","year":"2006","journal-title":"Biol Res Nurs"},{"key":"10.1016\/j.ajog.2020.04.031_bib29","doi-asserted-by":"crossref","first-page":"407","DOI":"10.3109\/00016348709022043","article-title":"The effect of bedrest in hospital on fetal outcome in pregnancies complicated by intra-uterine growth retardation","volume":"66","author":"Laurin","year":"1987","journal-title":"Acta Obstet Gynecol Scand"},{"key":"10.1016\/j.ajog.2020.04.031_bib30","first-page":"CD000034","article-title":"Bed rest in hospital for suspected impaired fetal growth","volume":"1996","author":"G\u00fclmezoglu","year":"2000","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajog.2020.04.031_bib31","first-page":"619","article-title":"Physiological responses to prolonged bed rest and fluid immersion in humans","volume":"57","author":"Greenleaf","year":"1984","journal-title":"J Appl Physiol Respir Environ Exerc Physiol"},{"key":"10.1016\/j.ajog.2020.04.031_bib32","first-page":"583","article-title":"Changes in glucose, insulin, and growth hormone levels associated with bedrest","volume":"47","author":"Vernikos-Danellis","year":"1976","journal-title":"Aviat Space Environ Med"},{"key":"10.1016\/j.ajog.2020.04.031_bib33","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1042\/cs0420433","article-title":"An intrinsic rhythm of urinary calcium excretion and the specific effect of bedrest on the excretory pattern","volume":"42","author":"Ede","year":"1972","journal-title":"Clin Sci"},{"key":"10.1016\/j.ajog.2020.04.031_bib34","first-page":"50","article-title":"The physiology of bed rest","volume":"88","author":"Rubin","year":"1988","journal-title":"Am J Nurs"},{"key":"10.1016\/j.ajog.2020.04.031_bib35","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1016\/j.ajog.2004.05.058","article-title":"Bed rest and other determinants of bone loss during pregnancy","volume":"191","author":"Promislow","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib36","doi-asserted-by":"crossref","first-page":"70S","DOI":"10.1097\/01.AOG.0000447383.50068.26","article-title":"Bed rest and gestational diabetes: more reasons to get out of bed in the morning","volume":"123","author":"Merriam","year":"2014","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib37","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1111\/jth.13660","article-title":"Personalized thromboprophylaxis using a risk score for the management of pregnancies with high risk of thrombosis: a prospective clinical study","volume":"15","author":"Dargaud","year":"2017","journal-title":"J Thromb Haemost"},{"key":"10.1016\/j.ajog.2020.04.031_bib38","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1097\/00006199-200203000-00005","article-title":"Dysphoria among high-risk pregnant hospitalized women on bed rest: a longitudinal study","volume":"51","author":"Maloni","year":"2002","journal-title":"Nurs Res"},{"key":"10.1016\/j.ajog.2020.04.031_bib39","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1080\/01612840701651504","article-title":"Spiritual well-being, anxiety, and depression in antepartal women on bedrest","volume":"28","author":"Dunn","year":"2007","journal-title":"Issues Ment Health Nurs"},{"key":"10.1016\/j.ajog.2020.04.031_bib40","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1046\/j.1523-536X.1998.00252.x","article-title":"Perceptions of bed rest by women with high-risk pregnancies: a comparison between home and hospital","volume":"25","author":"Heaman","year":"1998","journal-title":"Birth"},{"key":"10.1016\/j.ajog.2020.04.031_bib41","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1111\/j.1552-6909.1997.tb02724.x","article-title":"Bed rest from the perspective of the high-risk pregnant woman","volume":"26","author":"Gupton","year":"1997","journal-title":"J Obstet Gynecol Neonat Nurs"},{"key":"10.1016\/j.ajog.2020.04.031_bib42","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1111\/j.1552-6909.2012.01349.x","article-title":"Women\u2019s experience of hospitalized bed rest during high-risk pregnancy","volume":"41","author":"Rubarth","year":"2012","journal-title":"J Obstet Gynecol Neonat Nurs"},{"key":"10.1016\/j.ajog.2020.04.031_bib43","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1111\/j.1552-6909.1975.tb00603.x","article-title":"Concerns of an obstetric patient experiencing long-term hospitalization","volume":"4","author":"Rosen","year":"1975","journal-title":"JOGN Nurs"},{"key":"10.1016\/j.ajog.2020.04.031_bib44","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1080\/073993301300003063","article-title":"Impact of prescribed activity restriction during pregnancy on women and families","volume":"22","author":"May","year":"2001","journal-title":"Health Care Women Int"},{"key":"10.1016\/j.ajog.2020.04.031_bib45","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1097\/00006199-199307000-00002","article-title":"Physical and psychosocial side effects of antepartum hospital bed rest","volume":"42","author":"Maloni","year":"1993","journal-title":"Nurs Res"},{"key":"10.1016\/j.ajog.2020.04.031_bib46","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.ajog.2013.07.012","article-title":"SMFM adopts GRADE (Grading of Recommendations Assessment, Development, and Evaluation) for clinical guidelines","volume":"209","author":"Chauhan","year":"2013","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2020.04.031_bib47","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","article-title":"GRADE: an emerging consensus on rating quality of evidence and strength of recommendations","volume":"336","author":"Guyatt","year":"2008","journal-title":"BMJ"}],"container-title":["American Journal of Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937820305172?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937820305172?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:19:45Z","timestamp":1790183985000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002937820305172"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":46,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["S0002937820305172"],"URL":"https:\/\/doi.org\/10.1016\/j.ajog.2020.04.031","relation":{},"ISSN":["0002-9378"],"issn-type":[{"value":"0002-9378","type":"print"}],"subject":[],"published":{"date-parts":[[2020,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Society for Maternal-Fetal Medicine Consult Series #50: The role of activity restriction in obstetric management","name":"articletitle","label":"Article Title"},{"value":"American Journal of Obstetrics and Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajog.2020.04.031","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}