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Cited by 8Maternal Mental Health During Pregnancy and PostpartumAssisted Reproductive Technology and Twin PregnancyMaternal and Perinatal Health Interventions

Perceived stress and support preferences during bed rest in twin pregnancies: A cross-sectional online survey

Lawrence, Madeline E., Carr, Lucas, Hart, Kimberly, Whitaker, Kara M.·2022·Midwifery
DOI 10.1016/j.midw.2021.103189
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Abstract

Objective To identify the most prominent sources of stress, examine correlates of stress, and assess support preferences to inform future interventions among women pregnant with twins who are on bed rest.Materials and methods A cross-sectional online survey was administered to pregnant and postpartum women who were recommended bed rest during their twin pregnancy. Total stress while on bedrest was assessed using an adapted version of the Antepartum Hospital Stressors Inventory (AHSI). Bivariate analyses were used to compare total stress scores across participant characteristics using linear regression, Spearman's correlation, and one-way ANOVA. Qualitative content regarding women's bed rest experiences and future intervention preferences was analyzed into themes.Findings Women's (N = 104, mean age 30.6 years ± 4.6) most prominent sources of stress while on bed rest included thinking about babies' health, feeling dependent on others, and feeling uncertain about the outcome. Women who were recommended bed rest earlier in their pregnancy or were recommended both home and hospital bedrest had higher stress scores, while women with monochorionic/monoamniotic pregnancies had lower stress scores. Approximately 64% of women indicated interest in a bed rest support program, with 88% indicating a preference for online support and 70% wanting support from family.Key conclusions Women pregnant with twins who are recommended bed rest identify many sources of stress. Our findings suggest a need for stress-management interventions targeting this population.

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  • Individuals who were prescribed bed rest in hospital or at home had higher stress scores relating to thinking about babies' health, feeling dependent on others, and feeling uncertain about the outcome.

    “Individuals who were prescribed bed rest in hospital or at home had higher stress scores relating to thinking about babies’ health, feeling dependent on others, and feeling uncertain about the outcome [38].”

    From Activity Restriction and Hospitalization in Pregnancy: Can Bed-Rest Exercise Prevent Deconditioning? A Narrative Review (2023) · cites this paper as [38]

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Authors
Lawrence, M. E., Carr, L., Hart, K., & Whitaker, K. M.
Affiliations
University of Iowa (US)
Corresponding author
Whitaker, Kara M.
ORCID
Venue
Midwifery
Publisher
Elsevier BV
Published
2022-01
Volume
104
Pages
103189
ISSN
0266-6138 (ISSN-L)
DOI
10.1016/j.midw.2021.103189
OpenAlex
W3208690965
Cited by
8
References
28
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 1
FWCI
1.30
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Midwifery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
twin pregnancy, bed rest, perceived stress, support preferences, monochorionic monoamniotic twins, family support, online support, stress management interventions, postpartum women
MeSH terms
Adult, Bed Rest, Cross-Sectional Studies, Female, Hospitalization, Humans, Pregnancy, Stress, Psychological, Pregnancy, Twin

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