Evidence map›Paper›PMID 40054885›Full record

ArticleBritish journal of sports medicine2025

International Delphi study of clinical and exercise professionals' opinion of physical activity prescreening and contraindications for participating in postpartum physical activity.

Margie H Davenport, Shefali Christopher, Rita E Deering, Christina Prevett, Sinead Dufour, Milena Forte, Nicole Beamish, Kristi Adamo, Kari Bo, Emma Brockwell and 12 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in British journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
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  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Margie H DavenportProgram for Pregnancy and Postpartum Health, Physical Activity and Diabetes Laboratory, Faculty of Kinesiology, Sport and Recreation, Women and Children's Health Research Institute, Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada mdavenpo@ualberta.ca.ORCID http://orcid.org/0000-0001-5627-5773
Shefali ChristopherDoctor of Physical Therapy Program, Department of Rehabilitation Sciences, Tufts University, Medford, Washington, USA.
Rita E DeeringDepartment of Physical Therapy, Carroll University, Waukesha, Wisconsin, USA.ORCID http://orcid.org/0000-0002-8187-9971
Christina PrevettProgram for Pregnancy and Postpartum Health, Physical Activity and Diabetes Laboratory, Faculty of Kinesiology, Sport and Recreation, Women and Children's Health Research Institute, Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada.
Sinead DufourSchool of Rehabilitation Science, Faculty of Health Science, McMaster University, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0002-9484-1606
Milena ForteMount Sinai Hospital, Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0001-9387-0184
Nicole BeamishSchool of Kinesiology and Health Studies, Queen's University, Kingston, New York, Canada.ORCID http://orcid.org/0000-0001-6775-3339
Kristi AdamoPrevention in the Early Years Lab, Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.
Kari BoNorwegian School of Sport Sciences, Department of Sports Medicine, Akershus University Hospital, Department of Obstetrics and Gynecology, Norwegian School of Sports Sciences, Oslo, Norway.
Emma BrockwellPrivate Pelvic Health Practice, Physiomum, Surrey, UK.
Émilie Brunet-PagéDepartment of Midwifery, Université du Québec à Trois-Rivières, Trois-Rivieres, Quebec, Canada.
Radha ChariDepartment of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Marlize De VivoAdvanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, UK.ORCID http://orcid.org/0000-0002-7873-5985
Karen FlemingDepartment of Family & Community Medicine, University of Toronto, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada.
Amal HassanKynisca Innovation Hub, Washington Spirit Soccer LLC, London, UK.
Melanie HaymanAppleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia.ORCID http://orcid.org/0000-0003-1469-3496
Kirstin N LaneSchool of Exercise Science, Physical and Health Education, University of Victoria, Victoria, British Columbia, Canada.ORCID http://orcid.org/0000-0002-3786-8191
Michelle F MottolaR. Samuel McLaughlin Foundation- Exercise and Pregnancy Laboratory, School of Kinesiology, Faculty of Health Sciences, Department of Anatomy and Cell Biology, Schulich School of Medicine and Dentistry, Children's Health Research Institute, The University of Western Ontario, London, Ontario, Canada.ORCID http://orcid.org/0000-0002-8707-4656
Sarah E Neil-SztramkoDepartment of Health Research Methods, Evidence & Impact, National Collaborating Centre for Methods and Tools, McMaster University, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0002-9600-3403
Rita A Santos-RochaESDRM Sport Sciences School of Rio Maior, SPRINT Sport Physical Activity and Health Research & Innovation Center, Santarém Polytechnic University, Rio Maior, Portugal.ORCID http://orcid.org/0000-0001-7188-8383
Anna SzumilewiczDepartment of Physical Culture, Gdansk University of Physical Education and Sport, Gdansk, Pomorskie, Poland.ORCID http://orcid.org/0000-0003-3777-5697
Stephanie-May RuchatDepartment of Human Kinetics, Universite du Quebec a Trois-Rivieres, Trois-Rivieres, Quebec, Canada.ORCID http://orcid.org/0000-0002-2140-7526

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo establish expert consensus on prescreening and contraindications to moderate-to-vigorous intensity physical activity (MVPA) during the first year postpartum.

methodsA Delphi survey of clinical and exercise professionals working with postpartum women and people was conducted until consensus was reached (≥75% agreement). Round I consisted of questions about relative and absolute contraindications to MVPA. Rounds II and III included additional questions based on the thematic coding of open-ended responses from the previous rounds. The results were used to develop a postpartum MVPA preparticipation screening tool.

results120 participants completed round I, 105 completed round II and 95 completed round III. Consensus was reached in 46/49 (94%) statements. Twenty-four relative contraindications to MVPA were identified: (loss of consciousness; neurological symptoms; kidney disease; calf pain or swelling suggestive of deep vein thrombosis; severe abdominal pain; vaginal bleeding not associated with menses; postpartum cardiomyopathy; caesarean section with symptoms that worsen with MVPA; unstable hypertension; eating disorder; malnutrition; anaemia; excessive fatigue; fractures or other significant musculoskeletal injuries; haemodynamic instability; breathing difficulties; acute systemic infection accompanied by fever, body aches, or swollen lymph glands; the new onset of chest pain, discomfort, and other angina-like symptoms with exertion; dizziness or lightheadedness during MVPA; new symptoms of heart disease, stroke; and other medical or physical conditions that may affect the ability to be physically active. Key biopsychosocial barriers to MVPA were identified.

conclusionThis Delphi study recommends relative contraindications to MVPA for the first year postpartum that were incorporated into a postpartum MVPA pre-participation screening tool the Get Active Questionnaire for Postpartum.

Indexed as

Attitude of Health PersonnelExercisePostpartum PeriodAdultConsensusContraindicationsDelphi TechniqueFemaleHumansMass ScreeningConsensusExerciseWomen

Identifiers

PMID40054885
PMCPMC12013588

What OpenQuestion holds

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Registered trials

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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.