Choosing Wisely:

Don’t place women, even those at high-risk, on activity restriction to prevent preterm birth.

Rationale and Comments: There are no studies documenting an improvement in outcomes in women at risk for preterm birth who are placed on activity restriction, including bed rest. There are multiple studies documenting untoward effects of routine activity restriction on the mother and family, including negative psychosocial effects. Therefore, activity restriction should not be routinely prescribed as a treatment to reduce preterm birth.
Sponsoring Organizations:
  • Society for Maternal-Fetal Medicine
  • Sources:
  • Society for Maternal-Fetal Medicine (SMFM) guideline
  • Disciplines:
  • Obstetrical
  • References: • Society for Maternal-Fetal Medicine (SMFM), Habeber E, Sciscione A. SMFM Consult Activity Restriction in Pregnancy. Contemp Ob Gyn. 2014.

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