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• W71001452 abstract "ABSTRACT: Pregnant women have been prescribed bed rest for a variety of reasons: preterm labor, incompetent cervix, high-blood pressure, multiple gestation, placenta previa, and many other patient-specific complications. However, while the prescription of bed rest has become routine, the effectiveness of this potentially harmful treatment is still controversial. Pregnant women that are confined to bed rest are at an increased risk for physical, emotional and economic hardships. By understanding these effects, utilizing appropriate interventions and educating this at-risk population on coping strategies, we as health care providers, can improve the quality of care we give our patients during this life-changing event. KEY WORDS: Antepartum, bed rest, high-risk pregnancy. INTRODUCTION Bed rest is a common treatment modality that is prescribed for pregnant women during the antepartum period because their pregnancy is determined to be high-risk. This means their pregnancy suggests that they are at an increased risk for adverse fetal conditions or maternal complications such as preterm labor, incompetent cervix, high-blood pressure, and multiple gestation. Surprisingly, bed rest is recommended to more than 700,000 women each year (Goldenberg et al., 1994). Hospitalization and bed rest are recommended to the high-risk patient in order to allow the medical community a more controlled environment in which frequent monitoring of the mother and fetus for signs and symptoms of deterioration can be provided. However, prolonged bed rest is an extremely stressful experience for the high-risk pregnant woman and her family. According to available research, pregnant women that are confined to bed are at an increased risk for physical, emotional, and economical hardships. These hardships include, but are not limited to depression, boredom, anxiety, role strain, sleep disturbances, bone demineralization, muscle atrophy, and domestic violence (Gupton, Heaman, & Ashcroft, 1997; Maloni et al., 1993). It is extremely important to understand the total impact of antepartum bed rest on the pregnant woman and her family. This includes the physical complications, emotional stressors, familial and financial hardships. Also, it is imperative to determine interventions we as health care providers can implement to facilitate coping. In order to improve the quality of care we give our patients, we must understand and strive to meet their needs by gaining insight into this particular life crisis. EFFECTS OF BED REST Physical Complications Antepartum bed rest consists of the confinement of an otherwise healthy, high-risk pregnant woman to bed for an extended period of time. This rather routine treatment has the potential of setting the woman up for numerous physical complications that can last well into the postpartum period. Due to the confinement and lack of mobilization, physical effects on the bed rest patient include all systems of the body. Several studies have been conducted on the physical effects of prolonged bed rest. LeBlanc et al. (1988) studied men on prolonged bed rest of more than five weeks and found significant muscle atrophy in the plantar flexor muscles (soleus and gastrocnmeius) that are primarily used for ambulation. Maloni et al. (1993) determined that women who were placed on complete bed rest (consisting of confinement to bed with no weight bearing for two or more days) had increased weight loss, gastrocnemius muscle dysfunction and dysphoria than did women on partial bed rest (consisting of confinement for only part of the day and never on complete bed rest for two or more days) or on no bed rest at all. Dysphoria pertained to a composite score of anxiety, depression, and hostility. In addition, the researchers determined that the amount of weight gained during the overall pregnancy was lower for the bed rest group. Fifty-nine percent of the women either lost weight or failed to gain through the course of the pregnancy. …" @default.
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• W71001452 date "2004-04-01" @default.
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• W71001452 title "The Effects of Antepartum Bed Rest on the Pregnant Woman and Her Family" @default.
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