{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T16:48:41Z","timestamp":1793638121256,"version":"4.5.1"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2022,1]]},"abstract":"\n Objective\u2003Despite lack of evidence to support efficacy, activity restriction is one of the most commonly prescribed interventions used for the prevention of preterm birth. We have a departmental policy against the use of activity restriction but many practitioners still prescribe it in an effort to prevent preterm birth. We sought to evaluate the rate and compliance of women who are prescribed activity restriction during pregnancy to prevent preterm birth.<\/jats:p>\n Study Design\u2003This was a single-site retrospective questionnaire study at a tertiary care, academic affiliated medical center. Women with a history of preterm delivery or short cervix were included. Once patients were identified, each patient was contacted and administered a questionnaire. We assessed the rates of activity restriction prescription and compliance. Secondary outcomes included details regarding activity restriction and treatment in pregnancy. Continuous variables were compared with t-test and categorical variables with Chi-square test. The value p\u2009<\u20090.05 was considered significant.<\/jats:p>\n Results\u2003Among the 52 women who responded to the questionnaire, 18 reported being placed on activity restriction by a physician, with 1 self-prescribing activity restriction, giving a rate of our primary outcome of 19 of 52 (36.5%). All women reported compliance with prescribed activity restriction (100%). Gestational age at delivery was not different in women placed on activity restriction.<\/jats:p>\n Conclusion\u2003This questionnaire suggests that approximately one in three high-risk women were placed on activity restriction during their pregnancy despite a departmental policy against its use. The 100% compliance rate in patients placed on activity restriction is a strong reminder of the impact prescribing patterns of physicians can have on patients.<\/jats:p>\n Key Points\n <\/jats:p>","DOI":"10.1055\/s-0040-1714358","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T22:39:43Z","timestamp":1595543983000},"page":"054-060","source":"Crossref","is-referenced-by-count":8,"title":["The Compliance of Prescribed Activity Restriction in Women at High Risk for Preterm Birth"],"prefix":"10.1055","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6833-5059","authenticated-orcid":false,"given":"Ghamar","family":"Bitar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Christiana Care Health System, Newark, Delaware"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Sciscione","sequence":"additional","affiliation":[{"name":"Delaware Center for Maternal Fetal Medicine, Newark, Delaware"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,7,23]]},"reference":[{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/S1701-2163(16)32800-6","article-title":"Bed rest and activity restriction for women at risk for preterm birth: a survey of Canadian prenatal care providers","volume":"30","author":"A E Sprague","year":"2008","journal-title":"J Obstet Gynaecol Can"},{"issue":"03","key":"ref3","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":"A C Sciscione","year":"2010","journal-title":"Am J Obstet Gynecol"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.ajog.2019.08.059","article-title":"The impact of occupational activities during pregnancy on pregnancy outcomes: a systematic review and metaanalysis","volume":"222","author":"C Cai","year":"2020","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref5","first-page":"131","article-title":"Bed rest in pregnancy","volume":"84","author":"R L Goldenberg","year":"1994","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1152\/jappl.1984.57.3.619","article-title":"Physiological responses to prolonged bed rest and fluid immersion in humans","volume":"57","author":"J E Greenleaf","year":"1984","journal-title":"J Appl Physiol"},{"issue":"S 01","key":"ref7","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":"A A Merriam","year":"2014","journal-title":"Obstet Gynecol"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1097\/AOG.0b013e3182723b1b","article-title":"Practice bulletin no. 130: prediction and prevention of preterm birth","volume":"120","author":"Committee on Practice Bulletins\u2014Obstetrics, The American College of Obstetricians and Gynecologists","year":"2012","journal-title":"Obstet Gynecol"},{"issue":"06","key":"ref9","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":"C A McCall","year":"2013","journal-title":"Obstet Gynecol"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1097\/AOG.0b013e3181fdef6e","article-title":"Contemporary patterns of spontaneous labor with normal neonatal outcomes","volume":"116","author":"J Zhang","year":"2010","journal-title":"Obstet Gynecol"},{"issue":"06","key":"ref12","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":"W A Grobman","year":"2013","journal-title":"Obstet Gynecol"},{"issue":"04","key":"ref13","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":"J Bendix","year":"2015","journal-title":"J Perinat Med"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1089\/jwh.1998.7.351","article-title":"Prescription of activity restriction to treat high-risk pregnancies","volume":"7","author":"J A Maloni","year":"1998","journal-title":"J Womens Health"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1037\/0278-6133.27.1.43","article-title":"Pattern of perceived stress and anxiety in pregnancy predicts preterm birth","volume":"27","author":"L M Glynn","year":"2008","journal-title":"Health Psychol"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1714358.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T23:48:17Z","timestamp":1640821697000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1714358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,23]]},"references-count":13,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,12,29]]},"published-print":{"date-parts":[[2022,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1714358","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,23]]}}}