9/28/2023 0 Comments Modified bed rest![]() Furthermore, the potential harm, including venous thromboembolism, bone demineralization, and deconditioning, and the negative effects, such as loss of employment, should not be underestimated.” (ACOG Practice Bulletin #127, June 2012.) The Lords of Obstetrics, who hand down the holy “ACOG Practice Bulletins” from on high even proclaim, “Although bed rest and hydration have been recommended to women with symptoms of preterm labor to prevent preterm delivery, these measures have not been shown to be effective for the prevention of preterm birth and should not be routinely recommended. There is no credible medical evidence that bed rest prevents preterm delivery in any group of patients – those with preterm labor, cervical shortening, or vaginal bleeding.Įvidence is entirely lacking for the oft-prescribed practice of imposing bed rest for patients with hypertension, fetal growth restriction, or pre-eclampsia. The truth is that my indignation was unjustified. “They know how to measure cervical length in New York if anything happens. ![]() My emotional response was to be concerned: bed rest was working – why would this patient risk catastrophe by taking a business trip. Now, after four weeks of bed rest, her cervix was unchanged. ![]() I had prescribed progesterone, and modified bed rest – which meant she was supposed to absolutely limit her activities, proscribe lifting weight of any significance, and spend most of her time reclining or lying down. My patient’s cervix was 2.5cm at 20 weeks of gestation. “I guess, if you have to.” I admit it: there was a hint of disapproval in my voice. “I’ll make sure to sit the entire time,” my patient assured me with great seriousness.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |