Mobility Limitation
Conditions
Brief summary
This is a randomized controlled trial, planned to study the effects of pedometers (digital step counters) on patient mobility following cesarean delivery. The investigators plan to randomize patients at high risk for thromboembolic events to participants with a personalized repeated feedback approach based on pedometer results, versus participants with no feedback to pedometer results.
Interventions
Feedback on number of steps taken by patint, as recorded by pedometers, provided by research team
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients following cesarean delivery * Consent to participation * No medical recommendation for bed rest and limited mobility * Meet any of the following criteria for high risk for thromboembolic complications - preeclampsia, chronic disease (reumatic, inflammatory bowel disease), obese, smoker \> 10 cigaretts a day, age \>35, substantial limb varicose, multiple gestation, multiparity (\> deliveries), emergent surgery, thrombophilia.
Exclusion criteria
* Refusal to participate * Medical recommendation to limit mobility
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of steps | 48 hours | Number of steps taken by patient as recirded by pedometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with a postpartum complication composite | 48 hours | Composite of postpartum complications, including infectious (endometritis, wound), blood product transfusion |
| Number of analgesic doses | 48 hours | Number of doses of analgesics consumed by patient |
| Length of hospitalization | From 72 hours to one week | Duration of postpartum hospitalization |
| Number of thromboembolic events | Six weeks | Thromboembolic events during the post partum period, including deep vein thrombosis and pulmonary emboli |
Countries
Israel