Why You Will Need Bed Rest Throughout a Multiples Pregnancy

 

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With the increased risk of complications associated with multiple births, many moms require some level of bed rest during their pregnancy. Bed rest could be prescribed to alleviate a potential health risk to the mother (such as pre-eclampsia) or for the babies (such as preterm labor ). Multiple pregnancies: Although bed rest is not routinely advised if you are carrying twins, it is essential in the case of multiple pregnancies like triplets or quadruplets, when you are highly prone to complications. If you do have complications associated with a multiples pregnancy, your doctor may recommend some level of bed rest to minimize potential risks to the mother (such as preeclampsia) or for the babies (such as preterm labor). Some doctors routinely prescribe rest after 24 weeks, while others take a “wait and see” approach. For other women, bed rest means spending a portion of pregnancy in a hospital room, in a hospital bed, with hospital staff, and not being able to get up and move around at all.

The most common reasons that bed rest is prescribed are things like carrying twins or multiples, preterm labor or risk of preterm labor, placenta previa, gestational hypertension, or preeclampsia. Lying on the left side can also minimize some pregnancy discomforts like varicose veins and swelling and ensures that the expectant mother will not get light-headed, like she might experience lying on her back. Possible Side-Effects of Bedrest: Blood Clots-Support hose help with circulation. Ask physician if you can do isotonic exercises in bed.

Some women will discover that their health care provider places them on bed rest for a brief period to help a complication stabilize, while other women may be placed on bed rest throughout most of their pregnancy if they have what is called, a high-risk pregnancy. Today, almost 1 out of 5 women is on restricted activity or bed rest at some point during her pregnancy. However, studies of bed rest have not found evidence that bed rest helps.

Bed rest during pregnancy can pose health risks, including: A blood clot in a deep vein, such as a vein in your leg (venous thromboembolism) Decreased bone mass (bone demineralization) Musculoskeletal and cardiovascular deconditioning. Stress due to self-blame, child care issues, and concerns about job loss or finances. If everything progresses normally during your twin pregnancy, you may not require bed rest. However, if there are complications or other conditions, your doctor may recommend bed rest.

There are various levels of bed rest, from suggested daily naps to full confinement in a hospital. When you are rested, it is expected that your body oxygen demand is minimal. This is good because it will favor transport of oxygen to the area where it is most needed—the growing baby.

Oxygen demand is appreciably increased in twin or other multiples of pregnancy. Hence, bed rest is strongly indicated.

List of related literature:

Pregnancy increases the need for sleep and rest.

“Fundamentals of Nursing E-Book” by Patricia A. Potter, Anne Griffin Perry, Patricia Stockert, Amy Hall
from Fundamentals of Nursing E-Book
by Patricia A. Potter, Anne Griffin Perry, et. al.
Elsevier Health Sciences, 2020

No benefit to reducing preterm birth was found when bed rest was used for twin gestations.

“Fanaroff and Martin's Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant” by Richard J. Martin, Avroy A. Fanaroff, Michele C. Walsh
from Fanaroff and Martin’s Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant
by Richard J. Martin, Avroy A. Fanaroff, Michele C. Walsh
Elsevier Health Sciences, 2010

Because so many women with multiples are at risk for complications and potential bed rest, they should attend classes in their early second trimester.

“Perinatal Nursing” by Kathleen Rice Simpson, Patricia A. Creehan, Association of Women's Health, Obstetric, and Neonatal Nurses
from Perinatal Nursing
by Kathleen Rice Simpson, Patricia A. Creehan, Association of Women’s Health, Obstetric, and Neonatal Nurses
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008

The sleepiness is probably related to the high levels of the hormone progesterone, which, in addition to protecting the lining of the uterus for the fetus, promotes sleep.

“Sink Into Sleep: A Step-by-Step Workbook for Reversing Insomnia” by Judith R. Davidson, Ph.D, C.Psych
from Sink Into Sleep: A Step-by-Step Workbook for Reversing Insomnia
by Judith R. Davidson, Ph.D, C.Psych
Springer Publishing Company, 2012

for space-limited parents, and research shows that twins sleep better when placed near each other as they were in utero.

“Dad's Guide To Pregnancy For Dummies” by Mathew Miller, Sharon Perkins
from Dad’s Guide To Pregnancy For Dummies
by Mathew Miller, Sharon Perkins
Wiley, 2014

I had limited amounts of energy and had to carefully balance my schedule around my two beautiful and active young children and the need for rest.

“Earthing: The Most Important Health Discovery Ever?” by Clinton Ober, Stephen T. Sinatra, Martin Zucker
from Earthing: The Most Important Health Discovery Ever?
by Clinton Ober, Stephen T. Sinatra, Martin Zucker
Basic Health Publications, 2010

This is particularly compounded when bed rest or immobilization occurs during the gestational period.

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from Sabiston Textbook of Surgery E-Book
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Elsevier Health Sciences, 2012

Because there is a lack of evidence that bed rest can prevent preterm deliveries and, in fact, evidence that bed rest causes both physical and emotional harm to women, ACOG does not recommend routinely prescribing bed rest.”

“Intrapartum Management Modules: A Perinatal Education Program” by Betsy B. Kennedy, Donna Jean Ruth, Elizabeth Jean Martin
from Intrapartum Management Modules: A Perinatal Education Program
by Betsy B. Kennedy, Donna Jean Ruth, Elizabeth Jean Martin
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2009

“Bed rest” is often recommended for a variety of obstetric disease such as threatened preterm labor or preeclampsia.

“Critical Care Obstetrics” by Michael A. Belfort, George R. Saade, Michael R. Foley, Jeffrey P. Phelan, Gary A. Dildy
from Critical Care Obstetrics
by Michael A. Belfort, George R. Saade, et. al.
Wiley, 2010

The obstetrical jury is still out on whether bed rest helps prevent the kinds of complications sometimes associated with a multiple pregnancy (such as preterm labour and pre-eclampsia).

“What to Expect When You're Expecting 4th Edition” by Heidi Murkoff, Sharon Mazel
from What to Expect When You’re Expecting 4th Edition
by Heidi Murkoff, Sharon Mazel
Simon & Schuster UK, 2010

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • I’m 10 weeks pregnant with twins. This is my 4th pregnancy.. I’m already feeling the babies move! I wasnt sure if that what’s I’m feeling. It’s amazing cause since my sonigram I know for a fact that’s my babies… It’s crazy!!!!!