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Published on: June 13, 2021
Antepartum bed rest: effect upon the family
J A Maloni1, J E Brezinski-Tomasi, L A Johnson
1Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106-4904, USA. jam44@po.cwru.edu
Summary
Antepartum bed rest significantly impacts families, causing emotional distress and financial strain despite available support. Children may experience adverse effects, and maternal responsibilities are difficult to manage during this period.
Area of Science:
- Maternal-Fetal Medicine
- Family Studies
- Healthcare Management
Background:
- Antepartum bed rest is a common intervention for high-risk pregnancies.
- The effects of this intervention on the family unit are not fully understood.
Purpose of the Study:
- To investigate the multifaceted effects of antepartum bed rest on the entire family system.
- To identify challenges and support needs experienced by families during this critical period.
Main Methods:
- A descriptive, retrospective survey design was employed.
- Data were collected from 89 women on hospital or home bed rest via an open-ended questionnaire.
- Participants were identified through a high-risk pregnancy support group.
Main Results:
- Families faced challenges in assuming maternal roles, experienced anxiety, and noted adverse emotional effects on children.
- Significant financial difficulties arose, often uncompensated by insurance or work benefits.
- While most families received support, instrumental support was common, but emotional support was most valued; unreliable support was least helpful.
Conclusions:
- Antepartum bed rest imposes considerable difficulties on families, impacting emotional well-being and financial stability.
- Support systems are crucial, with emotional support from family and friends being particularly beneficial.
- Healthcare providers offered minimal support, highlighting a gap in family-centered care during antepartum bed rest.
