Bedrest Compliance for Women with Pregnancy Problems

Bedrest Compliance for Women with Pregnancy Problems ABSTRACT: Bedrest has long been recommended for high‐risk pregnancies, but recent studies question its effectiveness in improving pregnancy outcomes. To be effective, the women for whom bedrest is recommended must practice it. This study examined degree of compliance and reason for noncompliance in women for whom bedrest was recommended, and outcomes of pregnancy among high‐risk women who complied compared with those who did not. The subjects were 326 high‐risk pregnant women who were prescribed bedrest for preterm labor, blood pressure problems, or bleeding problems. Of that group, one‐third did not comply with the bedrest recommendation. These women had more children, were not currently married, had more stress, did not attend prenatal classes, continued drinking alcohol during pregnancy, and were not trying to get pregnant compared with women who complied. Reasons for noncompliance included the need to care for children, not feeling sick, household demands, lack of partner or family support, need to work, and discomfort. The pregnancy outcomes for the women who complied were similar to those of the women who did not comply. These findings support the importance of more research on the practice of prescribing bedrest to improve pregnancy outcomes. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Birth Wiley

Bedrest Compliance for Women with Pregnancy Problems

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Publisher
Wiley
Copyright
Copyright © 1995 Wiley Subscription Services, Inc., A Wiley Company
ISSN
0730-7659
eISSN
1523-536X
D.O.I.
10.1111/j.1523-536X.1995.tb00546.x
Publisher site
See Article on Publisher Site

Abstract

ABSTRACT: Bedrest has long been recommended for high‐risk pregnancies, but recent studies question its effectiveness in improving pregnancy outcomes. To be effective, the women for whom bedrest is recommended must practice it. This study examined degree of compliance and reason for noncompliance in women for whom bedrest was recommended, and outcomes of pregnancy among high‐risk women who complied compared with those who did not. The subjects were 326 high‐risk pregnant women who were prescribed bedrest for preterm labor, blood pressure problems, or bleeding problems. Of that group, one‐third did not comply with the bedrest recommendation. These women had more children, were not currently married, had more stress, did not attend prenatal classes, continued drinking alcohol during pregnancy, and were not trying to get pregnant compared with women who complied. Reasons for noncompliance included the need to care for children, not feeling sick, household demands, lack of partner or family support, need to work, and discomfort. The pregnancy outcomes for the women who complied were similar to those of the women who did not comply. These findings support the importance of more research on the practice of prescribing bedrest to improve pregnancy outcomes.

Journal

BirthWiley

Published: Mar 1, 1995

References

  • Preterm birth prevention: An evaluation of programs in the United States
    Alexander, Alexander; Weiss, Weiss; Hulsey, Hulsey; Papiernik, Papiernik
  • Patient compliance: An overview
    Moms, Moms; Schulz, Schulz
  • Chronic illness and compliance
    Cameron, Cameron; Gregor, Gregor
  • Maternal recall and medical records: An examination of events during pregnancy, childbirth, and early infancy
    Githens, Githens; Glass, Glass; Sloan, Sloan; Entman, Entman

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