Evidence map›Paper›PMID 42727276›Full record

ArticleInternational journal of obstetric anesthesia2026

Inpatient activity and sleep following vaginal versus scheduled cesarean delivery using actigraphy: an observational pilot study.

J E O'Carroll, A Yarmosh, K Ando, M J Im, C-H Shu, N Aghaeepour, M Druzin, D M Panelli, B Carvalho, P Sultan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of obstetric anesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

J E O'CarrollDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: jamesocarroll@hotmail.com.
A YarmoshDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
K AndoDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
M J ImAnesthesiologist, El Camino Hospital, Mountain View, CA, USA.
C-H ShuDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
N AghaeepourDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
M DruzinMaternal Fetal Medicine and Obstetrics, Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, USA.
D M PanelliMaternal Fetal Medicine and Obstetrics, Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, USA.
B CarvalhoDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
P SultanDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.

Funding

Stanford PRIHSM: Promoting Improvement in Hemorrhage-related Severe Maternal MorbidityU54HD113142 · NICHD · STANFORD UNIVERSITY · PI Deirdre Lyell · 2023 to 2026
$11.0M
Development and Validation of a PROMIS-based Measure to Assess Postpartum SleepR01HL166253 · NHLBI · STANFORD UNIVERSITY · PI Pervez Sultan · 2023 to 2026
$2.2M
Early Intervention for Postpartum PTSD: Comparing Written Exposure and Capnometry-Guided Breathing TherapyR01AT013866 · NCCIH · STANFORD UNIVERSITY · PI KAYSEN, DEBRA L, SULTAN, PERVEZ · 2025 to 2025
$1.6M
NCCIH NIH HHS R01 AT013866NHLBI NIH HHS R01 HL166253NICHD NIH HHS U54 HD113142
6 · The paper itself

Abstract

backgroundSleep and physical activity are key postpartum recovery domains. We compared inpatient postpartum sleep and activity following vaginal and scheduled cesarean deliveries using wrist based actigraphy.

methodsThis prospective, single center cohort study used actigraphy worn throughout hospitalization to explore differences in inpatient postpartum sleep and activity.

resultsOf 78 patients enrolled, 61 were fully analyzed. Sleep was poor in both groups, (median sleep-bout duration 3.6 h). Sleep efficiency, total sleep time, wake after sleep onset were similar between groups. Average sleep movement index (5.4 vs. 7.2) and sleep fragmentation index (5.6 vs. 19.0) were lower after vaginal than cesarean delivery, but neither difference survived correction for multiple comparisons. Cesarean patients recorded significantly greater sedentary and light activity on days 0-2, these differences remained after correction for multiple comparison.

conclusionInpatient sleep was poor in both delivery modes. Sleep restlessness indices were lower after vaginal delivery but non-significant following multiple comparison; greater early sedentary and light activity was greater following cesarean delivery and persisted following correction. The clinical meaningfulness of these exploratory differences are unknown and require confirmation in adequately powered studies.

Indexed as

ActigraphyActivityCesarean deliveryPostpartum recoverySleep

Identifiers

PMID42727276
PMCPMC13634607

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.