Schroeder C A
University of Washington, School of Nursing, Department of Psychosocial and Community Health, Seattle 98195-7263, USA.
Image J Nurs Sch. 1996 Fall;28(3):253-8. doi: 10.1111/j.1547-5069.1996.tb00360.x.
To explore women's experience of bed rest in high risk pregnancy.
Naturalistic, qualitative. SAMPLE, SETTING: Twelve adult, pregnant women on prescribed bed rest of a minimum of 20 hours per day and for at least 3-weeks duration were interviewed in one Western state of the U.S.A. regarding their experiences.
Three major themes were perceptions of high risk pregnancy, perceptions of bed rest, and the experience of time and restricted movement. The women described a high level of physical, emotional, familial, and economic hardship resulting from the bed-rest experience. Having adequate income, health insurance, and a supportive relative to take over household responsibilities were dimensions of successful maintenance of bed rest in the women.
The routine obstetric procedure of bed-rest should be reevaluated in light of its lack of demonstrated effectiveness and potential to seriously harm women and their families.
Women should be fully informed about controversies surrounding the efficacy of bed rest in pregnancy and encouraged to participate in decisions when complications occur regarding the prescription of prolonged bed rest.
探讨高危妊娠女性卧床休息的经历。
自然主义的定性研究。
样本、地点：在美国西部的一个州，对12名成年孕妇进行了访谈，她们每天按医嘱卧床休息至少20小时，且持续至少3周，访谈内容为她们的经历。
三个主要主题为对高危妊娠的认知、对卧床休息的认知以及时间和活动受限的体验。这些女性描述了卧床休息经历所带来的高度身体、情感、家庭和经济困难。拥有足够的收入、医疗保险以及有一位支持自己的亲属来接管家务，是这些女性成功维持卧床休息的因素。
鉴于卧床休息缺乏已证实的有效性且有可能严重伤害女性及其家庭，应重新评估这一常规产科程序。
应让女性充分了解围绕孕期卧床休息有效性的争议，并鼓励她们在出现并发症需要延长卧床休息医嘱时参与决策。
