ArticleObstetrics and gynecology2013
Activity restriction among women with a short cervix.
Article in Obstetrics and gynecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Inpatient vs Outpatient Management of Women With Short Cervix: A Randomized Controlled Trial (RCT)
The Effect of Routine Activity on the Risk for Preterm Delivery in Women With a Short Cervix. A Randomized Control Trial
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Society for Maternal-Fetal Medicine Consult Series #50: The role of activity restriction in obstetric management: (Replaces Consult Number 33, August 2014).American journal of obstetrics and gynecology · 2020Guideline
- Prediction of Spontaneous Preterm Birth Among Nulliparous Women With a Short Cervix.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2016Trial
- Obstetrical Follow-Up in Pregnancies After Radical Trachelectomy-Our Case Series and Proposed Cervical Length Measurement Protocol.Journal of clinical medicine · 2025Article
- Recommending maternal bedrest to improve intrauterine growth is not proven.American journal of obstetrics and gynecology · 2025Article
- Associations of maternal sedentary behavior and physical activity levels in early to mid-pregnancy with infant outcomes: A cohort study.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Activity restriction and risk of adverse pregnancy outcomes.American journal of obstetrics & gynecology MFM · 2024Article
- The potential presence of infection may be indicated through non-invasive prediction of procalcitonin and C-reactive protein levels within the initial three days after cervical cerclage: a retrospective case-control study.BMC pregnancy and childbirth · 2024Article
- How to screen the cervix and reduce the risk of spontaneous preterm birth in asymptomatic women without a prior preterm birth.Obstetrics & gynecology science · 2023Article
- Physical activity and pregnancy outcomes: an expert review.American journal of obstetrics & gynecology MFM · 2023Review
- Community-based, population-focused preterm birth prevention programs - a review.Archives of gynecology and obstetrics · 2020Review
- Reducing the Risk of Preterm Birth by Ambulatory Risk Factor Management.Deutsches Arzteblatt international · 2019Review
- Labour and delivery: a clinician's perspective on a biomechanics problem.Interface focus · 2019Article
- Article
- Changing prevalence and the risk factors for antenatal obstetric hospitalizations in Denmark 2003-2012.Clinical epidemiology · 2016Article
- Activity in Pregnancy for Patients with a History of Preterm Birth.Clinical medicine insights. Women's health · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
Abstract
objectiveTo estimate determinants of and outcomes associated with activity restriction among women with a short cervix.
methodsThis was a secondary analysis of a randomized trial of 17-α hydroxyprogesterone caproate for prevention of preterm birth among nulliparous women with singleton gestations and cervices less than 30 mm by midtrimester ultrasonography. Women were asked weekly whether they had been placed on pelvic, work, or nonwork rest. "Any activity restriction" was defined as being placed on any type of rest. Factors associated with any activity restriction were determined and the association between preterm birth and activity restriction was estimated with multivariable logistic regression.
resultsOf the 657 women in the trial, 646 (98%) responded to questions regarding activity restriction. Two hundred fifty-two (39.0%) were placed on any activity restriction at a median of 23.9 weeks (interquartile range 22.6-27.9 weeks). Women on activity restriction were older, more likely to have private insurance, less likely to be Hispanic, had a shorter cervical length, and were more likely to have funneling and intra-amniotic debris. Preterm birth at less than 37 weeks of gestation was more common among women placed on activity restriction (37% compared with 17%, P<.001). After controlling for potential confounding factors, preterm birth remained more common among those placed on activity restriction (adjusted odds ratio 2.37, 95% confidence interval 1.60-3.53). Results were similar for preterm birth at less than 34 weeks of gestation.
conclusionActivity restriction did not reduce the rate of preterm birth in asymptomatic nulliparous women with a short cervix.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.