comfort

10 Perfect Mother’s Day Gifts for Mamas on Bedrest!

May 11th, 2017

This weekend is Mother’s Day and it’s time to shower your favorite Mamas on Bedrest with love and adoration!! Mamas on Bedrest are mamas who are not out and about. They are doing the very important work of gestating their babies at home and in the hospital, doing all that they can to make sure their bundles of love arrive safe and healthy. In their unwavering dedication to their babies and their families, recognizing that finances may be tight and that dad’s and other family members time is stretched, they are forgoing some vital self care. So for all that they are doing, show them that you see them and that you appreciate all the hard work that they are doing, and give them some extra love and pampering just for them! Below are 10 Perfect Mother’s Day gifts for Mamas on Bedrest. You’ll need to check your local listings for availability and pricing.

A Facial – Today there are mobile aestheticians who will actually come to your home and pamper you! Why not book a facial for your fav Mama on Bedrest? The aesthetician typically will bring her own equipment and products and provide mama with an unforgettable experience. Facials are excellent during pregnancy because with the added pregnancy hormones on board, many mamas may be experiencing acne, dryness or other skin imbalances that an experienced aesthetician can help remedy. And it will make mama feel great and bring out that pregnancy glow!

A Massage – Massage is an excellent gift for any mama, but especially for Mamas on Bedrest. Massage stimulates circulation as well as lymphatic drainage. Because Mamas on Bedrest are not up and moving about, their circulation has often slowed and the removal of dead tissue and wastes are also slowed. A massage by an experienced prenatal massage therapist will not only help mama’s circulation, but will relieve tired muscles and stretch muscles and limbs not being used while mama is on bedrest. Mama may also find that her sleep improves after the massage.

Manicure/Pedicure – All Mamas, especially Mamas on Bedrest, like to look pretty! Why not gift mama a mani/pedi! Aestheticians can come to mama in her home or to her hospital room and provide the service.

Housecleaning – Let’s face it, when mama’s down, the family goes into chaos as they try to figure out how to maneuver without their star player/team captain! Mamas often lament to me that they are concerned that their family is having trouble keeping up with the house; with their partners working and the kids doing what they can. Why not gift this mama some peace of mind and provide a deep cleaning service? Most services will come and do a one time deep cleaning, getting in every nook and cranny and setting things to right. Once that is done, Mama will rest easy knowing that her family now only needs to do maintenance upkeep.

Meal Delivery – I know that many communities gather round families with Mamas on Bedrest and bring over meals and casseroles. This is a wonderful gesture and much appreciated by Mama and her family. But it’s Mother’s Day. Let’s go all out!!! Order mama and her family a meal from their favorite restaurant and have it delivered and set up in her room! This is a wonderful way for mama and her entire family to share the day and its extra special when the meal comes from a special place.

Personal Chef Services – Some mamas will develop pregnancy induced hypertention (PIH) or Gestational Diabetes Mellitus (GDM) during pregnancy or even other metabolic disorders that will require mama to watch her diet. Why not give mama some special attention by hiring a personal chef for her-even if just for Mother’s Day. Most personal chef’s are very adept at preparing foods that are nutritious yet adhere to special dietary constraints. It will surely make mama feel like a queen!

Childbirth Education – Unfortunately, because mama is on bedrest, she won’t be able to attend a childbirth class. Why not bring the class to her! There are innumerable childbirth education classes available online. And (shameless plug here) Mamas on Bedrest & Beyond offers childbirth education classes via SKYPE and Facetime! So there is no need for mama to go into labor unprepared, but every opportunity for her to enter labor and delivery empowered.

Lactation Consultation – Many of you may be saying, “She hasn’t even had the baby yet!” Then this is the perfect time to make sure that Mama has everything that she needs to successfully initiate breastfeeding at birth and to carry on throughout the first year (if she so chooses!!) I have had many mamas remark that consultations with lactation consultants are an expense that they cannot afford. Why not gift this valuable resource to her??

Doula Services – I am so saddened when I hear Mamas on Bedrest say, “Oh, I can’t have a doula, I’m high risk and will be delivering in the hospital” or “I’m having a c-section.” There is still no reason that you can’t have support and comfort measures during your labor, delivery and birth. Doulas are for ALL women, not just those who are having uncomplicated pregnancies or birthing with midwives. Think about it, if doulas are there to make you feel more comfortable and secure, and to make sure that you have your wishes carried out as much as possible, doesn’t it make more sense to have a doula present to advocate on your behalf in an environment where there may be more intervention? Doulas are able to support all childbearing women in all types of situations, and their presence is now scientifically documented to improve birth outcomes. Gift this invaluable resource to a mama today!

Becoming a mother is quite possibly one of the most monumental events in a woman’s life. It needn’t be marred by bedrest. Mama can still be pampered and appreciated for the awesome mama she is and it’s my hope that these 10 gift ideas will enable you to show her how much she is loved and appreciated.

 

Happy Mother’s Day mamas!!

 

 

 

 

 

 

 

Get mama Doula services, Childbirth Education and Breastfeeding support, by e-mailing info@mamasonbedrest.com

Mamas on Bedrest: “Widespread Insurance Coverage of Doula Care Would Reduce Costs, Improve Maternal and Infant Health”

January 14th, 2016

Hello Mamas,

As we roll into 2016 one thing is certain: We are on the brink of change in the maternity world! At no time in history have there been so many groups and so many initiatives determined to improve maternity care and birth outcomes. Below is a press release put out by two leading maternity advocacy groups, Choices in Childbirth and Childbirth Connection (a program of the National Partnership for Women and Families) to raise awareness not only of the cost benefit of doula care, but also the tremendous benefit doulas provide to mamas and infants in improving birth outcomes. A doula is “a trained birth attendant who provides non-medical emotional, physical and informational support before, during and after childbirth.” Here is more from the press release: 

“Widespread coverage of doula care is overdue,” said Michele Giordano, executive director of Choices in Childbirth. “Overwhelming evidence shows that giving women access to doula care improves their health, their infants’ health, and their satisfaction with and experience of care. Women of color and low-income women stand to benefit even more from access to doula care because they are at increased risk for poor maternal and infant outcomes. Now is the time to take concrete steps to ensure that all women can experience the benefits of doula care.”

 “Doula care is exactly the kind of value-based, patient-centered care we need to support as we transform our health care system into one that delivers better care and better outcomes at lower cost,” said Debra L. Ness, president of the National Partnership. “By expanding coverage for doula care, decision-makers at all levels and across sectors – federal and state, public and private – have an opportunity to improve maternal and infant health while reducing health care costs.”

 The brief provides key recommendations to expand insurance coverage for doula care across the country. They have also provided an informative infographic which also summarized the major points (see below).

  • Congress should designate birth doula services as a mandated Medicaid benefit for pregnant women based on evidence that doula support is a cost-effective strategy to improve birth outcomes for women and babies and reduce health disparities, with no known harms.
  • The Centers for Medicare & Medicaid Services (CMS) should develop a clear, standardized pathway for establishing reimbursement for doula services, including prenatal and postpartum visits and continuous labor support, in all state Medicaid agencies and Medicaid managed care plans. CMS should provide guidance and technical assistance to states to facilitate this coverage.
  • State Medicaid agencies should take advantage of the recent revision of the Preventive Services Rule, 42 CFR §440.130(c), to amend their state plans to cover doula support. States should also include access to doula support in new and existing Delivery System Reform Incentive Payment (DSRIP) waiver programs.
  • The U.S. Preventive Services Task Force should determine whether continuous labor support by a trained doula falls within the scope of its work and, if so, should determine whether labor support by a trained doula meets its criteria for recommended preventive services.
  • Managed care organizations and other private insurance plans as well as relevant innovative payment and delivery systems with options for enhanced benefits should include support by a trained doula as a covered service.
  • State legislatures should mandate private insurance coverage of doula services.

Read the entire Issue Brief Here. For more information, visit Choices in Childbirth or Childbirth Connection.

 

 

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Mamas on Bedrest: To end the bedrest debate, we need more healthy mamas!

September 22nd, 2015

Greetings Mamas!!

The bedrest debate continues as more and more studies are advocating treatment of the causes of bedrest in lieu of activity restriction. However, there are those that are convinced that bedrest is an effective treatment for preterm labor and prolongs pregnancy. Let’s take a look at the evidence.

For over 25 years, Judith Maloni, RN, PhD researched bedrest and found that the practice has no apparent benefit and has been shown to be harmful to pregnant women. Her publication, “AntepartumBed Rest for Pregnancy Complications: Efficacy and Safety for Preventing Preterm Birth”(1), Maloni denounced the bedrest prescription because there was no evidence to support the practice.

In 2007. NASA released an article which showed that female astronauts in space lost bone mass and muscle mass and strength in as little as 2 weeks of inactivity, and the effects were even more pronounced at 60 days.(2) They recommended that if women do have to be on limited activity for an extended period of time, they should engage in a modified exercise program to maintain bone and muscle integrity.

The World Health Organization and Amnesty International have both denounced the bed rest prescription and have had sharp criticism of the United States-which boasts the highest costs of maternity care than any other country in the world, yet has some of the highest rates of complications, bed rest, interventions, cesarean sections and maternal and infant morbidity and mortality-to rethink their maternity care practices and to bring their maternity statistics in line with the rest of the world.

In 2013, physicians in the American Congress of Obstetricians and Gynecologists began questioning the practice of prescribed bedrest and Christina McCall, MD (3) and Joseph Biggio, Jr., MD (4) both called on their ACOG colleagues to stop the practice of bedrest citing the harm that is poses to pregnant women.

However, bedrest remains a mainstay in obstetrical practice. Here in Austin, the 2 major hospital systems each have large antepartum units which cater to women experiencing pregnancy complications. My colleague Angela Davids, founder of Keepemcookin.com, recently blogged about an article by Drs. Christine Piette Durrance and Melanie Guldi (5) in which the authors concluded after an extensive review of PRAMS (Pregnancy Risk Assessment Monitoring System) data of some 200,000 women, that limited inactivity does reduce preterm birth before 33 weeks by 7.7% and low birth weight infants (weighing less that 1500 grams) by 15.4%.

So what are mamas to think? Should they abandon bedrest? Remain on bedrest? Is there a way to not have to go on bedrest, to not encounter the complications that lead to the bedrest prescription?

At this juncture if you are a mama on bedrest, I WOULD NOT recommend abandoning the care plan that your provider has put into place for you. If you have questions about whether or not bedrest is necessary in your case, speak with your provider and voice your concerns. I am a firm believer that if you have hired (chosen) a provider for services, then you should follow their directions. Now if you are having reservations about being on bed rest, its efficacy and whether or not it is doing harm to you, you must have a candid conversation with your OB and get your questions answered so that you can make an informed decision.

I myself am a proponent of mamas getting off bedrest. I believe the way to do it is to help women to be in the best shape BEFORE they ever think about getting pregnant so that when they are pregnant they are strong and healthy. Many of you reading this may be saying, “Well fat lot of good that does me now!” I sense your frustration. There is nothing we mamas on bedrest do better than second guess ourselves! But what you did in the past (no matter how recent) is of no consequence. As Dr. Maya Angelou eloquently said, “When you know better, you do better.” You know better right now, so begin taking exquisite care of yourself right now! As much as possible,

  • Eat healthy, nutrient dense foods.
  • Drink lots of water (1/2 your current body weight but in ounces).
  • Rest (I know that sounds ridiculous, but many mamas on bedrest are so stressed out they don’t sleep well and don’t rest. Your body is not only maintaining you, it is also growing another fully complete human being. That most certainly deserves a nap!
  • Do stretches t keep your muscles supple and limber. (BedrestFitness!)
  • Keep your spirits up

I don’t know what is to become of bedrest and the bedrest prescription. I do know for the nearly 1 million women who will experience bedrest, you have to take care of yourself. If you are in the Austin, TX area, look me up! I always enjoy mixing with mamas and would be happy to serve you.

How are you surviving bedrest? Share your tips and comments section below.

 

References

Judith Maloni, Ph.D.  AntepartumBed Rest for Pregnancy Complications: Efficacy and Safety for Preventing Preterm Birth (Biological Research for Nursing 12(2) 106-124)

Mark Ransford. NASA-Funded Study finds Exercise Could Help Women on Bedrest November 15, 2007

Christina McCall, MD, “Therapeutic” Bed Rest in Pregnancy, Unethical and Unsupported by Data”, vol 121, No.6 June 2013, 1305-1308

Joseph Biggio, Jr., MD.“Bed Rest in Pregnancy, Time to Put the Issue to Rest!” vol 121 No. 6, June 2013, 1158-1160

Christine Piette Durrance and Melanie Guldi. Maternal Bedrest and Infant Health.