Will I must Continue Bed Rest Within My Twin Pregnancy

 

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29 Weeks Pregnant | Incompetent Cervix and Bed Rest

Video taken from the channel: Elizabeth Garkowski


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. Doctors often prescribe bed rest to buy a little more time for your pregnancy.

It’s not clear if it works in delaying labor. But it can help in a few ways. Bed rest may help lower your blood. 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. Having a twin pregnancy is not a guarantee that you will have to go on bed rest. Some health care providers will insist on it, but many others will not.

However, because of the increased risks of complications that accompany a twin or multiple pregnancy, you should be prepared for the possibility that you might have to go on bed rest. “I recommend that you should be extra cautious with this pregnancy by compelling yourself to bed rest starting at 7 months”, my obstetrician said. She explained that I should have bed rest because twin pregnancies have a high risk for premature labor, and the ones who will suffer the consequences the most are my unborn babies. 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).

Some doctors routinely prescribe rest after 24 weeks, while. Work, activity, lifting, or exercise may worsen or provoke certain situations, so bed rest may be prescribed to reduce vaginal bleeding or decrease the chance of premature labor. Bed rest may also be necessary to help increase blood flow to the placenta.

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 with any of these. Bedrest has been prescribed for various pregnancy complications for decades. For example, it’s often been prescribed if you’re carrying twins (or more), have a weak cervix, or otherwise have a higher risk of preterm labor. Multiple pregnancy issues can lead to bed rest.

Your doctor will put you on bed rest and also discuss the measures you need to take to stay healthy in the following scenarios (3). Placenta previa: This is when the placenta is situated lower than its actual position, blocking the cervix and there is risk of vaginal bleeding during pregnancy.

List of related literature:

If you were pregnant with multiples, were on bed rest, or had a difficult pregnancy or birth, your recovery may be more challenging than other women’s.

“Pregnancy, Childbirth, and the Newborn: The Complete Guide” by Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding
from Pregnancy, Childbirth, and the Newborn: The Complete Guide
by Janet Walley, Penny Simkin, et. al.
Meadowbrook, 2016

To keep a closer eye on your weight and your baby’s growth – as well as on all aspects of your pregnancy – you’ll have more frequent antenatal appointments than the average mum-to-be (on the plus side, that means more chances to hear your baby’s heartbeat – and more opportunities to ask questions).

“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

Hospitalisation and bed rest for multiple pregnancy.

“Practical Guide to High Risk Pregnancy and Delivery E-Book” by Fernando Arias, Amarnath G Bhide, Arulkumaran S, Kaizad Damania, Shirish N Daftary
from Practical Guide to High Risk Pregnancy and Delivery E-Book
by Fernando Arias, Amarnath G Bhide, et. al.
Elsevier Health Sciences, 2012

If your partner has to worry about how all the extra work is affecting you, she won’t be resting peacefully, and staying calm and relaxed is essential on bed rest.

“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

Be sure to ask your practitioner if she is comfortable caring for a twin pregnancy and delivery, as many do not.

“Expecting 411 (4th edition): The Insider's Guide to Pregnancy and Childbirth” by Ari Brown, Michele Hakakha
from Expecting 411 (4th edition): The Insider’s Guide to Pregnancy and Childbirth
by Ari Brown, Michele Hakakha
Windsor Peak Press, 2017

Bed rest is unnecessary.

“Arias' Practical Guide to High-Risk Pregnancy and Delivery: A South Asian Perspective” by Fernando Arias, Amarnath G Bhide, Arulkumaran S, Kaizad Damania, Shirish N Daftary
from Arias’ Practical Guide to High-Risk Pregnancy and Delivery: A South Asian Perspective
by Fernando Arias, Amarnath G Bhide, et. al.
Elsevier Health Sciences Apac, 2019

Bed rest does not affect the outcome.

“Llewellyn-Jones Fundamentals of Obstetrics and Gynaecology E-Book” by Jeremy J N Oats, Suzanne Abraham
from Llewellyn-Jones Fundamentals of Obstetrics and Gynaecology E-Book
by Jeremy J N Oats, Suzanne Abraham
Elsevier Health Sciences, 2015

Bed rest in pregnancy.

“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

Rarely, very early in pregnancy, one twin will die and the other will be fine.

“Our Bodies, Ourselves: Pregnancy and Birth” by Boston Women's Health Book Collective, Judy Norsigian
from Our Bodies, Ourselves: Pregnancy and Birth
by Boston Women’s Health Book Collective, Judy Norsigian
Atria Books, 2008

Stay on complete bed rest throughout the pregnancy.

“Lippincott's Content Review for NCLEX-RN” by Diane M. Billings
from Lippincott’s Content Review for NCLEX-RN
by Diane M. Billings
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008

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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9 comments

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  • My prayers are with you as for me I am sorry to say I currently going true the same an its not an easy life I pray every day an night exactly going true the same but I am having a baby boy now I am in 26weeks an undergoing bed rest in the hospital but I want to go home my doctor say I have to stay until I reach 34 weeks an its hard so I need to know if you home doing the bed rest an how u do it thank you stay safe.

  • hi I am 13 weeks and have incompetent cervix also.. I wanted to ask if you worked during the time you were pregnant and would it be safe.. I’m a teacher and we go back to school in 2 months…

  • After cervical stitch at19weeks I’m getting dark brown discharge is it dangerous To my baby I had work normal after cervical stitch up to 10days after that I got that brown discharge

  • I’m going thru this right now with my baby boy. I’m currently 20 weeks and my cervix is only 1.6 cm. My doctor put me on progesterone suppositories and no bedrest. I’m so terrified of losing him. I honestly would rather do the cerclage bc I’m so scared

  • thank you very much im 20 weeks and mine is at 2.4 cm. and researching about low cervix. thank you gives me more understanding and how to manage.

  • Im watching ur video and literally crying because im going through this but no cerclege. I lost my twins last year and got pregnant with twins again both ivf. Found out i was funneling and 0.9 cm cervix at 20 weeks and got a pessary placed yesterday. I had it done yesterday and im on hospital bed rest for a couple days. How was ur bed rest were u allowed to use the bathroom?

  • Heyy Elizabeth!!
    M from India..i totally relate to ur stry as i hav been gng thru d same..at week 7 i gt a gel lyk spotting and ths is my frst pregnancy..to b honest fr a whle i thot i lost my baby..ws into tears..nd immediately rushd to my doc..i ws put on preogesterone nd few other medcnes nd ws told complete rest fr about 15 dayz..fr a person lyk me who has always stayed outdoors it ws really diffi to b home whle day…aftr 15 dayz v gt an ultra sound done nd dat is whn thy found out that i had a clot next to d baby whch needs to dissolve cmpletely..so ws again put on bed rest fr about 1 n hlf mnth aftr whch d clot had dissolvd nd evrythn seemed ok…at week 19 early mrng i strtd to bleed..i ws into tears..d hardest tym of my lyf..ths tym i ws vry scard..gt immediately admitted to d hospital nd they said dat my cervix ws open by 0.5cm nd dat v need to undergo cervical cerclage surgery…ths ws d frst tym in my entre 24 yrs dat i ws admittd to hospital..i ws super scard ws shivering on d operation table..by Allahs grace evrythn ws alright..aftr cumn bck home i bled fr almst 15 dayz..nd thn it stopped..its ws d toughest tym fr me as thr ws nobdy to tek cre of me..me nd husbnd stay alone..rite nw m into week 30 nd evrythn seems gud till nw..hopefully evrythn vl b fyn!!!waitn fr d baby to cum out soon

  • Hi.. it’s so heartening to see this video. I guess I’m seeing this after a year. I lost my baby in the 16th week because my uterus opened.howi wish I had realised earlier and visited a doctor much earlier. But I didn’t feel any symptom. By the time the dreading night arrived.. my uterus was fully opened. And my doc had no option but to make me abort:( i hope I get lucky next time ��

  • Hi Elizabeth… You are such a strong woman.. Im currently in 16th week… I underwent a scan during 13th week.. And found my baby’s head position was down and my cervix was dilated to 5mm..my doc asked me take progestrone supplement for 20 days and asked me to come for another scan in which they will do measurements… What precaution and tips i need to follow… Pl help me….