Cedars-Sinai Medical Center
The goal of this quasi-experimental study is to determine if there are improved outcomes for patients with preterm prelabor rupture of membranes (PPROM) who walk daily. The main question it aims to answer is: \- Are patients with PPROM who walk at least 3500 steps per day more likely to stay pregnant longer than those who walk less? Participants will be encouraged to walk ≥3500 steps per day from the time of diagnosis until delivery and their daily step counts will be recorded. Researchers will compare those who actually walk ≥3500 steps per day to those who walk less.
The primary objective of this study is to determine if there is increased latency to delivery for patients with PPROM who ambulate ≥3500 steps per day compared to those who ambulate less. The investigators have chosen a goal of 3500 steps as this equates to approximately 30 minutes of moderate-intensity walking, and ACOG endorses the US Department of Health and Human Services Physical Activity Guidelines which recommend at least 150 minutes of moderate intensity aerobic activity per week during pregnancy. The secondary objective of this study is to determine whether there is a lower risk of a…
Inclusion Criteria: * Planned inpatient expectant management of ≥7 days * Phone capable of monitoring and sharing step count * Singleton or dichorionic twin gestation Exclusion Criteria: * Any records flagged "break the glass" or "research opt out" * Transverse, footling breech, or funic presentations * Active preterm labor * Active vaginal bleeding
Ambulate ≥3500 steps per day
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