She may be too sick to do this for herself. If she is not improving, take her to a different health care professional. Help her by making sure she is getting the best care possible by educating yourself on hyperemesis and her treatment options. Prolonged nausea and vomiting will leave her exhausted and depressed. Give her permission to rest as much as possible, especially in the first trimester when sitting up or standing can provoke relentless vomiting. PubMed Research on Pregnancy and Bed Rest Early intervention to minimize the nausea and control vomiting can potentially prevent complications such as atrophy and the need for extended bed rest. Periodic reassessment is helpful, especially if HG persists into late pregnancy.Īt a minimum, simple isometric exercises should be taught to the mother to maintain some muscle tone and flexibility as tolerated. Physical therapy (PT) during pregnancy may reduce the severity of pain and debility and should be considered on her first hospital admission or when weight loss exceeds 5-10%. It also reduces the physical fitness of a mother for delivery and may increase the need for intervention during delivery. This can complicate the course of HG and may contribute to its severity. Not only do these women become depressed and lethargic, but they quickly lose muscle mass and body weight which can deplete their energy and result in significant pain. Unfortunately, many health care professionals are not aware of the debilitating effects of bed rest, especially when the woman is also suffering from dehydration and malnutrition. Babies may have reduced vestibular development and exhibit signs of Sensory Processing Disorder. The research on adverse effects is limited in pregnant women, and even less for women with hyperemesis.īed rest adversely affects both the mother and baby during pregnancy and delivery, and will often prolong the mother's recovery. Few understand the incredible impact extended bed rest can have on a woman psychologically and physiologically. For some women, it can last throughout much of pregnancy, especially if effective medications are not given in sufficient doses. Having hyperemesis typically means weeks to months of reduced mobility for much if not all of the day.
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