11/25/2023 0 Comments Partial bed restPregnant women are already at increased risk of deep vein thrombosis (DVT) and pulmonary embolism (PE). Increase your risk of blood clots in your legs.Resting in bed can be harmful because it may: But others point out that bed rest itself can have a variety of negative effects. Some healthcare providers think that bed rest is worth a try, even if it hasn't been proven helpful. There's no good evidence that bed rest is helpful in preventing pregnancy complications from placenta previa, preeclampsia, gestational diabetes, intrauterine growth restriction, or PPROM. It did find that strict bed rest in the hospital was associated with increased spontaneous onset of labor and a higher birth weight compared to women with no activity restriction at home, though. In an analysis of more than 600 women with a twin or triplet pregnancy, researchers found no difference in the risk of complications between women on strict bed rest in the hospital and women with no activity restriction at home. There's no good evidence that bed rest is helpful for women carrying multiples. Gestational hypertension or preeclampsia (in an effort to keep your blood pressure in check).Placenta previa (a placenta that lies unusually low in your uterus, covering your cervix).Intrauterine growth restriction (the baby isn't growing properly).A risk of preterm labor, such as a weak or short cervix.Reasons for bed rest during pregnancyīed rest during pregnancy has often been prescribed for women who are carrying twins or multiples or who have: In fact, the Society for Maternal-Fetal Medicine (SMFM) and The American College of Obstetricians and Gynecologists (ACOG) both recommend against the routine use of bed rest or activity restriction. But bed rest isn't often advised anymore because there isn't evidence to show that it leads to a healthier pregnancy or birth. That is, she was told to spend much or all of her time lying down at home. While Fedotowsky says she’s “not doing as well as would like to be doing” thanks to her limited activity, she also says that she and her fiancé are “so grateful” her pregnancy has been otherwise healthy.In the not-very-distant past, nearly 1 in 5 women in the United States was put on bed rest at some point during her pregnancy. "If a woman has a complication that merits restrictions, she should discuss them with her provider and get specific instructions about what she is allowed to do." "Every high-risk pregnancy is different, and different physicians may have different opinions about what is or is not allowed.," Schaffir says. “This is a way to reduce the activity level without having to hospitalize our patients,” he explains. high blood pressure during her pregnancy), has already had cervical changes, or has experienced mild bleeding early in her pregnancy, James says. Modified bed rest might be recommended if a woman has preeclampsia (i.e. “It can be a million different things.”ĭoctors may prescribe it for a variety of reasons. “It’s not like there’s a protocol and everyone agrees what modified bed rest is,” she says. Modified bed rest can also mean lying in bed for a few hours a day or avoiding sex, Streicher says. I encourage them to relax on the couch with limited activity.” “I like to call it ‘couch rest’-patients can get up to shower, prepare their meals, go to their doctor’s appointments, etc., but should not lift, exercise, or perform housework. “There are no specific rules,” James says. "So the term 'modified bed rest' has emerged, which is an umbrella term for restricted activity without the strict command to remain in bed."īut the definition of modified bed rest differs from doctor to doctor. "Nevertheless, there are situations where it just make sense that women limit their activities and not be engaging in exertion or strenuous exercise that could provoke bleeding or contractions," he says. And, of course, it can be life-altering if a woman suddenly has to stop working to be on strict bed rest. Jonathan Schaffir, M.D., an ob/gyn from The Ohio State University Wexner Medical Center, tells SELF that doctors are less likely to prescribe strict bed rest these days because research has found it doesn’t decrease preterm labor and can come with downsides such as increasing a woman’s risk of developing blood clots and decreasing her cardiovascular strength.
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