Comments on: Significance of waiting and giving mothers a say in childbirth – a case in point http://healthymother.wordpress.com/2009/01/21/significance-of-waiting-and-giving-mothers-a-say-in-childbirth/ Mon, 19 Oct 2009 15:59:04 +0000 http://wordpress.com/ hourly 1 By: vsakotai http://healthymother.wordpress.com/2009/01/21/significance-of-waiting-and-giving-mothers-a-say-in-childbirth/#comment-196 vsakotai Fri, 23 Jan 2009 17:02:35 +0000 http://healthymother.wordpress.com/?p=179#comment-196 Kathy, Thank you for your comment. The online community is a treasure trove of information, and what better way than to share and learn from each others' experiences! Kathy,

Thank you for your comment. The online community is a treasure trove of information, and what better way than to share and learn from each others’ experiences!

]]> By: Kathy http://healthymother.wordpress.com/2009/01/21/significance-of-waiting-and-giving-mothers-a-say-in-childbirth/#comment-195 Kathy Fri, 23 Jan 2009 13:33:56 +0000 http://healthymother.wordpress.com/?p=179#comment-195 Thanks for your answer, Dr. Vijaya. I've heard many cases of placenta previa, but no early bed-rest for it. It seemed that the long bed-rest was not necessary (and I'm glad to know that it probably wasn't in this case), and I'm always glad to learn. :-) Thanks for your answer, Dr. Vijaya. I’ve heard many cases of placenta previa, but no early bed-rest for it. It seemed that the long bed-rest was not necessary (and I’m glad to know that it probably wasn’t in this case), and I’m always glad to learn. :-)

]]> By: vsakotai http://healthymother.wordpress.com/2009/01/21/significance-of-waiting-and-giving-mothers-a-say-in-childbirth/#comment-192 vsakotai Thu, 22 Jan 2009 13:57:19 +0000 http://healthymother.wordpress.com/?p=179#comment-192 Kathy, Mom in this case had slight spotting, which caused her placenta previa to be diagnosed. So I think bed rest was appropriate for the initial week to 10 days. After this period, I think the OB was just erring on the side of caution. In fact, I did counsel mom that it was okay to carry on with moderate day to day activities - and she did start moving around her home a bit after a month or so of the previa being diagnosed. Unfortunately, in India it is a very common practice for the OBs to put would-be-mothers on bed rest for the flimsiest of reasons, and sometimes for no reason at all - Definitely not evidence-based practice. We at Healthy Mother are trying to educate our would-be parents about these kinds of practices all the time. However, once fear for baby's well-being sets into parents' minds, it is difficult to completely get rid of these fears. Dr. Vijaya Kathy,

Mom in this case had slight spotting, which caused her placenta previa to be diagnosed. So I think bed rest was appropriate for the initial week to 10 days. After this period, I think the OB was just erring on the side of caution. In fact, I did counsel mom that it was okay to carry on with moderate day to day activities – and she did start moving around her home a bit after a month or so of the previa being diagnosed.

Unfortunately, in India it is a very common practice for the OBs to put would-be-mothers on bed rest for the flimsiest of reasons, and sometimes for no reason at all – Definitely not evidence-based practice. We at Healthy Mother are trying to educate our would-be parents about these kinds of practices all the time. However, once fear for baby’s well-being sets into parents’ minds, it is difficult to completely get rid of these fears.

Dr. Vijaya

]]> By: Kathy http://healthymother.wordpress.com/2009/01/21/significance-of-waiting-and-giving-mothers-a-say-in-childbirth/#comment-190 Kathy Wed, 21 Jan 2009 22:34:02 +0000 http://healthymother.wordpress.com/?p=179#comment-190 I have a question about the previa -- what was the purpose of the bed-rest? I've heard of previa resolving itself (because it was not "true" previa, but just a low-lying placenta, which moved away from the cervix as the uterus expanded), and I've heard of bed-rest in later pregnancy and/or when there was a threat of preterm birth or cervical dilation. Was that the case here? I have a question about the previa — what was the purpose of the bed-rest? I’ve heard of previa resolving itself (because it was not “true” previa, but just a low-lying placenta, which moved away from the cervix as the uterus expanded), and I’ve heard of bed-rest in later pregnancy and/or when there was a threat of preterm birth or cervical dilation. Was that the case here?

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