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Bed Rest/Bed Stress: Support Group for Antepartum Women
Susan Remy, LICSW and Kimberly Rosen, RN
Introduction/Problem
The Interventions
The antepartum inpatient unit on 6 Stoneman is an 18 bed unit for women admitted with a complication
during their pregnancy. Often these women are in the hospital for weeks, even months. They usually are
not feeling sick and are often bored and anxious. They may be separated from young children and their
partners for the first time. Kim Rosen, RN, an Obstetrics nurse, was asked by a patient in 2005, “Are
there any other women here like me???” We then discussed having a weekly support group for these
women.
The drop-in group meets weekly on Thursdays from 11-12 noon.
Initially there was concern from the nursing team regarding confidentiality and comparison of each
patient’s individual medical care amongst the patients. There was also the practical logistics of getting the
women to the group if they were on very strict bedrest. This issue has lessened as the philosophy around
strict bed rest has changed since 2005.
If a patient wants to participate but is unwilling to get out of bed, we often host the group in that
patient’s room and the other women sit around the “hosting” patient in the bed.
Aim/Goal
The goal was to decrease the isolation women often feel when they are hospitalized on the antepartum
unit. An additional goal was for women to offer mutual support to each other since they all had one thing
in common: their pregnancies.
The Team
Confidentiality rules are explained at the beginning of each group:
–
The information shared is confidential although participants can talk about “themes”,
e.g., food, boredom, inability to go out for fresh air.
–
If a patient returns the following week the co-leaders are not able to inform patients
about the status of a fellow group member, i.e., delivered, discharged etc.
Results/Progress to Date
Numerous women have made lasting friendships through this group. Many have reconnected if their
newborn is admitted to the Neonatal Intensive Care Unit. Some have continued after their baby is
discharged and arrange play dates in the community.
Although the group is one hour in length, sometimes the women stay longer and continue to share their
stories and resources. They also sometimes get together to watch a movie or go for a walk around the
Obstetrics unit. We have had ice cream sundae parties as well as holiday hot cocoa and cookie
gatherings.
Susan Remy, LICSW, Obstetrics and NICU Social Worker
Kimberly Rosen, RN, Obstetrics Registered Nurse
Many women have reflected that the group has provided a hopeful perspective when they were feeling
discouraged and alone. Many have found a common thread with other women, i.e., having multiples,
struggling with being away from their children, a diagnosis in common that they thought no one else had
except them.
For more information, contact:
Susan Remy, LICSW, sremy@bidmc.harvard.edu
�
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Title
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Bed Rest/Bed Stress : Support Group for Antepartum Women
Date
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05/03/2017
Format
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Silverman Poster
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Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
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Susan Remy <a href="mailto:sremy@bidmc.harvard.edu">(sremy@bidmc.harvard.edu)</a>
Department
Any departments listed on the poster or identified in the spreadsheet.
Social Work
Obstetrics Nursing
Location or Affiliate
BIDMC
Project Team
Susan Remy
Kimberly Rosen
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
Dublin Core
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Title
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Bed Rest Bed Stress: Support Group for Antepartum Women
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
Format
The file format, physical medium, or dimensions of the resource
pdf
Effectiveness
Equality
Patient and Family-Centeredness