2.50
Hdl Handle:
http://hdl.handle.net/10755/158484
Type:
Presentation
Title:
Multiple Gestations: Side Effects of Antepartum Bed Rest
Abstract:
Multiple Gestations: Side Effects of Antepartum Bed Rest
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Maloni, Judith A, PhD, RN, FAAN
P.I. Institution Name:Case Western Reserve University
Title:Associate Professor
Contact Address:Department of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA
Contact Telephone:216-368-2912
Co-Authors:Seunghee Park, ND, RN, Research Assistant
The birth rate for multiples has recently increased by 46%. Twins and
triplets are at increased risk for preterm delivery and low birth weight.
Women with a multiple gestation are treated with antepartum bed rest to
reduce low birth weight and preterm birth, even though this treatment is
not known to be effective. Furthermore, bed rest treatment is associated
with numerous maternal side effects including maternal weight loss,
symptoms of musculoskeletal and cardiovascular deconditioning, increased
stress and depression, later postpartum recovery, and lower infant birth
weight. However, no study has specifically identified those side effects
of bed rest treatment that are alone associated with multiple gestation.
The purpose of this longitudinal repeated measures study was to identify
the antepartum and side effects of bed rest treatment for 31 hospitalized
women with a twin or triplet gestation. Maternal weight gain by body mass
Index (BMI) was determined using the same scale. Multiple Gestations: Side
Effects of Antepartum Bed Rest Antepartum and postpartum symptoms of bed
rest were assessed by the Antepartum and Postpartum Symptom Checklists.
Infant birth weights were compared with current 1994-1996 US reference for
weights of twins and triplets by gestational age, and gender. Antepartum
stressors was measured by the Antepartum Stressors Hospital Inventory.
Depressive symptoms were measured by the Multiple Affect Adjective
Checklist Revised (MAACL-R) Dysphoria and the Center for Epidemiologic
Studies Depression Scale (CES-D). Weekly maternal weight gain during
hospitalization was less than Institute of Medicine recommendations.
Infant birth weights were appropriate for gestational age. Maternal stress
remained high across hospitalization while maternal depression which was
initially high and then decreased through six weeks postpartum. Women
exhibited symptoms of musculoskeletal and cardiovascular deconditioning
during the antepartum which began to recover during the postpartum.
Antepartum interventions and postpartum rehabilitation is needed to
prevent and treat side effects of antepartum bed rest.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMultiple Gestations: Side Effects of Antepartum Bed Resten_GB
dc.identifier.urihttp://hdl.handle.net/10755/158484-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Multiple Gestations: Side Effects of Antepartum Bed Rest</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Maloni, Judith A, PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Case Western Reserve University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Department of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">216-368-2912</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jam44@po.cwru.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Seunghee Park, ND, RN, Research Assistant</td></tr><tr><td colspan="2" class="item-abstract">The birth rate for multiples has recently increased by 46%. Twins and <br/> triplets are at increased risk for preterm delivery and low birth weight. <br/> Women with a multiple gestation are treated with antepartum bed rest to <br/> reduce low birth weight and preterm birth, even though this treatment is <br/> not known to be effective. Furthermore, bed rest treatment is associated <br/> with numerous maternal side effects including maternal weight loss, <br/> symptoms of musculoskeletal and cardiovascular deconditioning, increased <br/> stress and depression, later postpartum recovery, and lower infant birth <br/> weight. However, no study has specifically identified those side effects <br/> of bed rest treatment that are alone associated with multiple gestation. <br/> The purpose of this longitudinal repeated measures study was to identify <br/> the antepartum and side effects of bed rest treatment for 31 hospitalized <br/> women with a twin or triplet gestation. Maternal weight gain by body mass <br/> Index (BMI) was determined using the same scale. Multiple Gestations: Side <br/> Effects of Antepartum Bed Rest Antepartum and postpartum symptoms of bed <br/> rest were assessed by the Antepartum and Postpartum Symptom Checklists. <br/> Infant birth weights were compared with current 1994-1996 US reference for <br/> weights of twins and triplets by gestational age, and gender. Antepartum <br/> stressors was measured by the Antepartum Stressors Hospital Inventory. <br/> Depressive symptoms were measured by the Multiple Affect Adjective <br/> Checklist Revised (MAACL-R) Dysphoria and the Center for Epidemiologic <br/> Studies Depression Scale (CES-D). Weekly maternal weight gain during <br/> hospitalization was less than Institute of Medicine recommendations. <br/> Infant birth weights were appropriate for gestational age. Maternal stress <br/> remained high across hospitalization while maternal depression which was <br/> initially high and then decreased through six weeks postpartum. Women <br/> exhibited symptoms of musculoskeletal and cardiovascular deconditioning <br/> during the antepartum which began to recover during the postpartum. <br/> Antepartum interventions and postpartum rehabilitation is needed to <br/> prevent and treat side effects of antepartum bed rest.</td></tr></table>en_GB
dc.date.available2011-10-26T21:06:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:06:03Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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