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Psychological and physiological problems associated with the use of antepartum bed rest for prevention of high-risk pregnancies

Antepartum bed rest is a prescribed therapy for women with high risk pregnancies to reduce the occurrence of preterm labor, preeclampsia, risks associated with incompetent cervix and other complications. Activity restriction, or bed rest, in high risk pregnancies is based on assumptions that it is both effective for preventing adverse pregnancy outcomes and it is safe; however, the efficacy of prescribed antepartum bed rest has been questioned. The purpose of this thesis is to provide a comprehensive review of research findings about the efficacy of antepartum bed rest and the potential side effects that may result. For this literature review an interdisciplinary review of research was performed using Cumulative Index of Nursing and Allied Health, PubMed, and PsychINFO. Current literature shows that activity restriction during pregnancy can have negative effects on the mother including increased levels of anxiety and depression, muscle atrophy, increased risk of thromboembolic events, cardiovascular side effects, and an increase in postpartum recovery time. Considering these common themes, nursing interventions to reduce the instance of these events were studied including music therapy, support groups, family involvement, and fall prevention.

Identiferoai:union.ndltd.org:ucf.edu/oai:stars.library.ucf.edu:honorstheses1990-2015-2010
Date01 January 2010
CreatorsJensen, Krista Marie
PublisherSTARS
Source SetsUniversity of Central Florida
LanguageEnglish
Detected LanguageEnglish
Typetext
SourceHIM 1990-2015

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