Now that you’re satisfied that bed rest is the best plan for you and your pregnancy (See “Bed rest: don’t take it lying down”), what’s next? Tucking yourself up in bed and turning on the telly, right?
Wrong. The next step should
be ensuring that you understand the parameters of your bed rest. There are
levels or degrees of bed rest and only your doctor can tell you what that level
is for you.
Here are some questions
you could ask about your bed rest:
1. In or out of hospital?
Do you have to be
monitored 24 hours a day, necessitating a stay in hospital, or are you allowed
to stay at home and call your doctor if there are any problems?
Some doctors are more
cautious than others and some conditions are more risky than others. A woman I
met while I was on bed rest with my daughter was 26 weeks pregnant and had been
on bed rest, in hospital, since her 7th week. She had lost her
previous baby at 22 weeks due to an undetected incompetent cervix and because
of this, her doctor was being extra cautious. When I questioned her about her
feelings about being on rest for so long, she said that she preferred to be in
hospital, knowing that she was doing everything she could to keep her current
pregnancy.
If you were put on bed
rest because of early labour, some doctors prescribe remote, or home monitoring
of contractions. The monitor is attached to your belly for about an hour per
day and the read-out is sent to your doctor’s computer via a phone or internet
line.
2. Toilet and showering privileges?
Some bed rest prescriptions
come down to this: how much can you move around? It might be that your doctor
would prefer you to lie flat and use a bed pan, or he might be ok with you
having one shower or bath per day and then going straight back to bed.
While I was on bed
rest with Hannah, I longed for shower time. Bed rest was so boring that any
distraction was a good one. But then, when I finally got to get up and shower,
I’d start contracting again and wish I was back in bed. Showering was also an
uncomfortable experience, because I had to be attached to my ipradol drip at
all times. (Next time you’re in the shower, try washing yourself with one hand
strapped behind your back! Now imagine that hand has a needle in it, which is
attached to a tube attached to an IV… Yep, now you’re getting the picture.)
Other questions
related to moving around could be:
2a. Are you allowed to pick up
your other children?
If you’re already a
mom, this is probably the first question you’re going to ask. Are you allowed
to care for your children as you normally would, or do you have to leave that
to someone else? This was a huge issue for me and probably the one that depressed
me most about being in bed. I wanted to be able to care for my children the way
I usually did, but bed rest prohibited me from doing that.
Lifting your other
children might bring on contractions for you, so it might well be a no-no. Find
out and try to come to terms with your limitations as soon as possible. The
sooner you do, the better it’ll be for your children. My older two children
learned very fast what my limitations were when I was on bed rest with my third
child and they were happy with hugs and kisses rather than being picked up.
2b. Can you exercise at all?
This is an important
one, because some sources argue that recovery from bed rest can be a long and
painful process if you don’t do simple exercises while you’re in bed. This
article tells the story of a woman who succumbed to tendonitis and tennis elbow
post-bed rest, while this is one of the many that say
you should try to keep your strength up and your blood moving by doing mild
exercise while on bed rest. Ensure that you know what your doctor’s position is
on this. If he’s ok with mild exercise, get him to refer you to a
physiotherapist or a specialist who could advise you on focused exercises.
Research your bed rest parameters
Trawl the internet for
other questions you might need to ask about the parameters of your bed rest. This is the most comprehensive list I could find, but there are many more out there.