Families also experienced financial difficulties, the majority of which were not compensated by insurance or work benefits. Child care problems included negative reactions from the children, concern about the quality of the provider, and maternal worry about care. Child care was managed by various people across time. (e-mail: of Obstetric, Gynecology & Neonatal Nursing 2001 Mar-Apr 30(2):165-73.įamilies experienced difficulty assuming maternal responsibilities, anxiety about maternal-fetal outcomes, and adverse emotional effects on the children. Maloni JA, Brezinski-Tomasi JE, Johnson LA.įrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106-4904, USA. Give her as much support as she requires and know that this is temporary, and she will likely be forever grateful for your presence during this very stressful and potentially traumatic time.Īntepartum bed rest: effect upon the family. Weeks of being inactive put her at risk for injury if she is not careful, especially in late pregnancy when her belly is rapidly growing. Assistance with gentle stretching exercises may be helpful, especially when she is weak or later in pregnancy when her joints are looser. ( Read research)įurther, it may take time for her to recover and rebuild her energy and muscle strength. The stress she feels will increase her cortisol levels, which means the baby will also be exposed to stress hormones which may adversely affect the baby long-term. She may feel guilty and stressed and need reassurance, understanding and help from those around her. It is likely that she will be unable to help with house work and other responsibilities for some time.
If she has children at home that she is unable to care for, it is very important that she have help.
Partial bed rest professional#
(Find a new healthcare professional in our Referral Network.)Įvery effort to eliminate triggers of vomiting and nausea is critical to her physical and emotional health. She may be too sick to do this for herself. If she is not improving, take her to a different health care professional. Help her by making sure she is getting the best care possible by educating yourself on hyperemesis and her treatment options. Prolonged nausea and vomiting will leave her exhausted and depressed. Give her permission to rest as much as possible, especially in the first trimester when sitting up or standing can provoke relentless vomiting. PubMed Research on Pregnancy and Bed Rest Early intervention to minimize the nausea and control vomiting can potentially prevent complications such as atrophy and the need for extended bed rest. Periodic reassessment is helpful, especially if HG persists into late pregnancy.Īt a minimum, simple isometric exercises should be taught to the mother to maintain some muscle tone and flexibility as tolerated. Physical therapy (PT) during pregnancy may reduce the severity of pain and debility and should be considered on her first hospital admission or when weight loss exceeds 5-10%. It also reduces the physical fitness of a mother for delivery and may increase the need for intervention during delivery. This can complicate the course of HG and may contribute to its severity. Not only do these women become depressed and lethargic, but they quickly lose muscle mass and body weight which can deplete their energy and result in significant pain. Unfortunately, many health care professionals are not aware of the debilitating effects of bed rest, especially when the woman is also suffering from dehydration and malnutrition. Babies may have reduced vestibular development and exhibit signs of Sensory Processing Disorder. The research on adverse effects is limited in pregnant women, and even less for women with hyperemesis.īed rest adversely affects both the mother and baby during pregnancy and delivery, and will often prolong the mother's recovery. Few understand the incredible impact extended bed rest can have on a woman psychologically and physiologically.
For some women, it can last throughout much of pregnancy, especially if effective medications are not given in sufficient doses. Having hyperemesis typically means weeks to months of reduced mobility for much if not all of the day.
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