2.50
Hdl Handle:
http://hdl.handle.net/10755/159773
Type:
Presentation
Title:
Recovery after Antepartum Bed Rest: Pilot Study
Abstract:
Recovery after Antepartum Bed Rest: Pilot Study
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Maloni, Judith, PhD
P.I. Institution Name:Case Western Reserve University
Title:Bolton School of Nursing
Contact Address:10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA
Contact Telephone:216-368-2912
Co-Authors:J.A. Maloni, Nursing, Case Western Reserve University, Cleveland, OH;
Bed rest is prescribed for approximately 1 million US women each year despite evidence for its ineffectiveness, and mounting evidence of adverse maternal side effects. Obstetricians are unaware of the side effects. Thus women are discharged in a physically deconditioned state without instructions about how to recover from bed rest's debilitating side effects. The purpose of this pilot study was to describe musculoskeletal (MS) lower body strength and cardiovascular (CV) aerobic endurance at two days postpartum among women treated with antepartum bed rest and a healthy control group. The conceptual framework is based upon aerospace scientists' studies of outcomes of bed rest in non-pregnant persons and my previous research. The sample included 18 postpartum women (8 bed rest and 10 controls), healthy prior to pregnancy and without chronic illness or disability. In the bed rest group, women were on bed rest for >21 days, and were diagnosed with either preterm labor, rupture of membranes, placenta previa, or incompetent cervix. Since our previous research reveals that women lack muscle strength and stamina after bed rest, two standardized Rikli-Jones tests of Senior Functional Fitness s were uused, the 6 minute walk and the Chair Sit to Stand test. MS and CV scores were low for both groups of women but lower for bed rest women. The mean for the Sit-to stand test was 6.8 for bed rest women and 9.0 for controls. The scores for bed rest women are comparable to Rikli Jones norms at the 5th percentile for women ages 75-79 while controls were comparable to the 10th percentile for women ages 60-64. Women in the bed rest group walked significantly less yards than controls. Conclusions: MS and CV status of both groups of women is compromised. Guidance regarding early MS and CV recovery and rehabilitation is needed, particularly for the bed rest group.
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.titleRecovery after Antepartum Bed Rest: Pilot Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159773-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Recovery after Antepartum Bed Rest: Pilot Study</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">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Maloni, Judith, PhD</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">Bolton School of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">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@case.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">J.A. Maloni, Nursing, Case Western Reserve University, Cleveland, OH;</td></tr><tr><td colspan="2" class="item-abstract">Bed rest is prescribed for approximately 1 million US women each year despite evidence for its ineffectiveness, and mounting evidence of adverse maternal side effects. Obstetricians are unaware of the side effects. Thus women are discharged in a physically deconditioned state without instructions about how to recover from bed rest's debilitating side effects. The purpose of this pilot study was to describe musculoskeletal (MS) lower body strength and cardiovascular (CV) aerobic endurance at two days postpartum among women treated with antepartum bed rest and a healthy control group. The conceptual framework is based upon aerospace scientists' studies of outcomes of bed rest in non-pregnant persons and my previous research. The sample included 18 postpartum women (8 bed rest and 10 controls), healthy prior to pregnancy and without chronic illness or disability. In the bed rest group, women were on bed rest for &gt;21 days, and were diagnosed with either preterm labor, rupture of membranes, placenta previa, or incompetent cervix. Since our previous research reveals that women lack muscle strength and stamina after bed rest, two standardized Rikli-Jones tests of Senior Functional Fitness s were uused, the 6 minute walk and the Chair Sit to Stand test. MS and CV scores were low for both groups of women but lower for bed rest women. The mean for the Sit-to stand test was 6.8 for bed rest women and 9.0 for controls. The scores for bed rest women are comparable to Rikli Jones norms at the 5th percentile for women ages 75-79 while controls were comparable to the 10th percentile for women ages 60-64. Women in the bed rest group walked significantly less yards than controls. Conclusions: MS and CV status of both groups of women is compromised. Guidance regarding early MS and CV recovery and rehabilitation is needed, particularly for the bed rest group.</td></tr></table>en_GB
dc.date.available2011-10-26T22:19:16Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:19:16Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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