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By Lisa Madden, RN

Maternal Child Health
Multiple Birth Specialist
Red Bank, NJ

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Q: I'm expecting twins. Can I prevent a bed-rest recommendation from my obstetrician?

First, congratulations on your pregnancy and on having twins. While a twin, or any multiple pregnancy, can make your pregnancy more complicated, it doesn't mean you need to be on bed rest. The major reason women are prescribed bed rest is to prevent premature contractions. Two practices I recommend to delay or even prevent bed rest is to drink plenty of water each day and to relax. Both can help create what I call a "relaxed" uterus, one that is less likely to contract. The resting part may be more challenging for you if you’re an active person, but it's important. Simply lying on your left side or sitting with your feet up a couple of times a day for about 30 minutes helps your uterus stretch with less stress, reducing the risk of contractions. And, of course, follow all of your doctor's instructions. And don't forget to take some time to enjoy your special pregnancy. You certainly won't have much
time after those babies are born!

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