Beobachtungen über das “Frühaufstehen” nach gynäkologischen Operationen bezw. Entbindungen

The tortuous history of the implementation of early ambulation after delivery

“…Fewer cases of venous thrombosis (0.11%) were found compared to women who had to remain in bed for the usual length of time (0.41%) after delivery between 1927 and 1936. 11,27 For a long time after the Second World War gynaecologists and obstetricians faced a dilemma. As it was becoming more and more accepted that early ambulation prevented the risk of venous thrombosis, they were also afraid that premature ambulation might lead to increased risks of prolapses of the uterus, bladder and even rectum (Huisjes, Bennebroek-Gravenhorst, personal communication).…”

“…25 Wichmann wrote, in 1938, a manuscript promoting early ambulation after surgery and delivery. 19,27 He obtained his ideas from the studies done by Küstner and Krönig, as well as new studies done by Scherf. 19 Scherf had found in an autopsy series that deep veins were more often thrombotic in women who had a long bed rest compared to those with a short bed rest.…”

“…Fewer cases of venous thrombosis (0.11%) were found compared to women who had to remain in bed for the usual length of time (0.41%) after delivery between 1927 and 1936. 11,27…”