As the pregnancy progresses, the combined weight of the babies strains the cervix. Gravity increases the pressure. Alleviating the pull of gravity and the pressure on the cervix can help prolong the pregnancy. That can be accomplished by staying off your feet and lying horizontally in bed. There is much dissension among the medical community as to whether bed rest should be routinely prescribed in multiple pregnancy. Some physicians argue that preventative bed rest should be mandatory for moms of multiples. At one time, bed rest at twenty-eight weeks was the standard for moms of multiples. Fortunately, that’s not the case now. Most doctors acknowledge the emotional and psychological toll on the family of a pregnant woman, as well as potential physical deterioration for the mother.
Blood Pressure Benefits
Another common problem in multiple pregnancy is hypertension, or high blood pressure. It can be a symptom of preeclampsia, a serious disorder that, if left untreated, can be fatal for the mother and the babies. Bed rest can be very effective in lowering blood pressure in pregnancy by taking the pressure of the uterus off the vena cava, a large vein that runs along the right side of the body. Usually mothers who are undergoing bed rest to reduce their blood pressure are advised to lie on their left side to improve circulation.
Placating the Placenta
Dizygotic or multizygotic multiples each have their own placenta, maximizing the surface area of the uterus that is covered by placental matter. This increases the chances of complications, including placenta previa, a condition that occurs when the placenta covers the cervix. The resulting hemorrhage can be dangerous for the mother and impede development of the babies. Bed rest and reduced activity can help diminish the bleeding. Bed rest also allows more blood and oxygen to flow to the placenta(s), enhancing the growth of the babies. If you’re experiencing complications such as preterm labor or placenta previa and your babies will likely be delivered early, a period of bed rest accompanied by treatment with steroids may give them a developmental boost.
Good for Mom
Although bed rest is usually prescribed to benefit the babies, it can be just as beneficial to the mother’s well-being. A multiple pregnancy places a tremendous strain on the mother’s organs, which work overtime to keep up with the demands of nurturing multiple fetuses. Sometimes rest and relaxation in bed are required to minimize a mother’s activity and give her body a break. Often bed rest becomes a last resort for women who can’t seem to slow down otherwise.
