Preface
This book is not meant to offer medical advice, rather wisdom from the trenches from a mom who has spent her share of time on home- and hospital-based bed rest. The book contains tips and information on how not only I survived my bed rests, but also advice and stories from moms Ive met along the way.
I decided to write this book after my son was born. Having had two pregnancies that involved prescribed bed rest one at home and one in hospital I have not known a normal pregnancy. In talking to other moms, I have learned there isnt much information out there for those of us who have been placed on bed rest, other than a couple of paragraphs in pregnancy books.
Much of the content comes from my own personal experience and the amazing people I encountered along the way. When I was pregnant with my daughter, at 22 weeks I was diagnosed with complete placenta previa, a condition where the placenta covers the cervix. In the majority of cases the placenta moves away from the cervix as the uterus grows. Not in my case. After some initial confusion and vague bed rest rules, I landed in hospital with minor bleeding at 28 weeks. Fortunately I lived within a three-minute drive from the hospital and was able to spend much of my time at home (with the occasional short-term stay each time I had a small bleed). Finally, at 36 weeks I delivered a small but healthy girl.
Fast-forward three years and I found out I was pregnant with my son. Although I was told each pregnancy is different, I strongly suspected more bed rest was in my future. I was right. My 20-week ultrasound revealed a suspected placenta accreta (when the placenta adheres to the muscle of the uterus or grows through the uterine wall versus attaching to its lining). I was sent to a high-risk hospital for further investigation where an ultrasound detected yet another complete placenta previa. Since I now lived 20 minutes from our small community hospital, which wasnt equipped to deal with placenta accreta, I was admitted to the antenatal unit of the regional teaching hospital more than an hours drive from my home.
Although Id never heard the term antenatal before, I settled in for my six-week stay on this high-risk unit with 20 other moms all trying their best to get close to their due date. I quickly made friends with a core group of moms who, like me, were in it for the long haul. We were a mixed bunch of shortened cervixes, placenta previas, low levels of amniotic fluids, gestational diabetes, and women carrying multiples. While we all had our own stories, we bonded over our love of daytime television, OREO cookies, and avoidance of Salisbury steak night.
As you find your own way to get through this challenging time in your life, I hope you gain your own insights from my experiences as well as those of the exceptional women whove had their own bed rest journeys.
Introduction
Welcome to the world of bed rest. You have likely purchased or been given this book after receiving word from your obstetrician/gynecologist (OB/GYN)/doctor/midwife that you are being placed on bed rest. At first the idea of being given permission to rest, lie down, and relax seems pretty enticing. But depending on where you are in your pregnancy, your complications, whether you have other children to care for, and the restrictions placed on your bed rest, it can be a pretty daunting task.
The purpose of this book isnt to provide you with medical advice. Hopefully youve already established medical support to guide you through that portion of your pregnancy. Rather, this book is meant as a mom-to-mom resource to help guide you through your bed rest and provide you with some tips from moms who have been there.
Many women placed on bed rest have lots of questions and few people to talk to who understand their journey. Their friends all brag about how they worked until the day they delivered or tell stories of all the normal things they did during their pregnancy. This is not the case for women on bed rest. We are often left on our own to figure it out, with no one to talk to who truly understands what we are going through. It can be an isolating and lonely experience.
Hopefully the information contained in this book will help you prepare and make the best of your situation, whether at home or in the hospital.
The book is divided into two parts focusing on home-based bed rest and hospital-based bed rest. If you read the entire book, you will notice some duplication between the sections, as some information is the same regardless of where you spend your time. However, there are also many differences in resting at home versus being monitored in a hospital setting. Some women begin their bed rest at home but as their pregnancy progresses or complications arise, move into a hospital setting.
I encourage you to not only read the text but also complete the exercises in the book. These exercises are designed to get you thinking about some of the common challenges related to bed rest. They will help move you through this journey.
It is also important you write down and share any medical questions with your healthcare provider. Some of the information may get you thinking about what questions to ask, not only about your current situation, but also as you move closer to your due date and even after baby is born. Just as every pregnancy is different, each womans bed rest, restrictions, and health issues before, during, and after pregnancy are also different.
Hopefully this book will help you realize you arent alone. The stories from moms who have spent days and weeks on bed rest were written to help moms going through a similar journey as we all want our experiences to help other women. Please know there are many women who are cheering you on from the trenches. You are not alone.
Part One
Home-Based Bed Rest
Before we get started, I want to share some points to help you navigate through the information contained in this book. Dont worry about keeping this book in pristine condition. Rather, Id recommend you have a pen nearby so you can make notes, work through exercises, and jot down questions for both your medical and support teams.
You will notice there is some duplication of the information contained in the home-based and hospital-based bed rest sections (Parts I and II of this book). While it might be tempting to skip over the duplicated material, I would recommend taking the time to read the book in its entirety. There are some subtle and not-so-subtle differences between the two types of bed rest as the two forms are very different experiences.
As you read, take note of the information you need for your particular experience and ignore the rest.
Chapter 1
Be Your Own Advocate
While this entire book is about helping you care for yourself, both at home and in hospital, it begins with recognizing that as a person and as a patient you have rights. You have the right to know exactly what is happening to your body and details about your condition. You have the right to have this explained to you in a way that you will understand. You also have the right to ask questions and speak to someone else if you still are not satisfied with the information you are given. Your pregnancy is a time to advocate for yourself, and your baby, and not be a passive passenger in what can be a complex and emotional journey.