Bedrest Checklist

[momto3angels]

I put together this checklist (gathered the info from different resources). If you go onto bedrest, it can be a great list to go over with your doctor so you understand clearly the parameters of your limitations, so I thought I would share it with you all. Since variables change during individual pregnancy, you may wish to make several copies of this chart, to be completed at various stages pf your pregnancy.

Hope everyone is doing well!

Bedrest Checklist to discuss with Dr.

Today's Date: ___________

What can I do now?
1) Activity level
Maintain a normal activity level
Slightly decrease activity level
Stop exercising
Greatly decrease activity level
Stop recreational walking

2) Working outside the home
Maintain full-time job
Work part-time (how many hours?)
Work in my home (how any hours?)
Stop work completely
Why?



3) Housework
Continue doing all housework
Decrease housework including:

No heavy lifting (laundry, moving furniture, etc)
No preparing meals
No vacuuming
No heavy scrubbing
Other:


Why?


4) Child Care
Care for other children as usual
No lifting children
No lifting children greater than ______ lbs. ______
Have another caretaker watch children
Have permanent caretaker for children
Why?


5) Mobility
Continue normal mobility
Limit mobility (sit down frequently)
Lie down each day (how many hours)
Recline all day (propped up)
Lie down flat all day (on side?)
May walk stairs (how many times/day?)
Stairs forbidden
May take a shower
How many minutes?
Should I sit in shower?
May take a bath
Eat sitting up?
Eat lying down?
Eat at table?

6) Driving
May drive car
May be a passenger in car
How often? _____ How long?
May not ride in car, except to doctor’s office
Why?


7) Bathroom privileges
May use bathroom normally
Should avoid constipation
Take stool softener? ______
Should use commode
No bathroom privileges (bedpan)
Why?


8) Sexual Relations
May continue normal sexual relations
Should limit sexual relations (how many times/month?) ______
Should avoid intercourse
Should avoid all types of relations that stimulate Female orgasm
Should avoid breast/nipple stimulation
Why?


Other Questions/concerns:

[smiley]

April!!
What a great list!!! I was on total bedrest with number one, and things were sooooo strict I didn't have any questions. But with ds #2 they put me on 'limited activity' and modified bedrest, and I really didn't have a clue what I should or shouldn't be doing!!! Had I brought something like this to the Peri's office with me (I would have carried everytime just knowing that something would happen sooner or later) and I could have whipped out this list and had him fill out the form....it would have saved alot of stress, and saved my dh calling the Peri to try to help figure it all out!!!!
Good job!!!
smiley

[momto2preemies]

thanks!

[hppymom24]

April,

Thanks so much for this list. Now I can go into my Dr. this Tuesday with a list and he'll have to sit, at least long enough for me ask him a few questions!

THANKS again,
Amy

[AnaLilia]

Thank you! I'm printing this out and taking it with me on Tuesday when I go see my doc again. =)

[SolaUna]

Great list -thanks for sharing it; I'm bringing it to my appointment tomorrow. I thought i had a good handle on what the peri meant by 'bedrest' - but my insurance co. had a million questions for me today & I felt totally clueless answering them!

[cathy_08]

I love the great list, its very helpful to us avoid forgetting things.