In-Bed Exercise Program for Hospitalized High-Risk Pregnant Women Aims to Improve Well-being

High-risk pregnancies frequently necessitate hospitalization and prolonged bed rest, a regimen known to induce significant physical and emotional distress. Extended periods of inactivity can lead to rapid muscle atrophy, bone density loss, and an elevated risk of venous thromboembolism. Concurrently, the isolation and anxiety associated with hospitalization can severely impact maternal mental health, contributing to depression and reduced quality of life. Current clinical practice often lacks specific, evidence-based guidelines for safe and effective physical activity during bed rest, leaving a critical void in comprehensive maternal care. This study aims to bridge this gap by developing and evaluating a tailored intervention.

This study outlines a protocol to rigorously evaluate a specifically designed physical activity program for hospitalized high-risk pregnant individuals on bed rest. Participants will be prospectively randomized into two arms: one receiving the exercise program, which includes targeted resistance and strength exercises designed for in-bed performance, and a control arm receiving standard care. Primary endpoints will encompass objective and subjective measures of physical and emotional health parameters, overall quality of life, and sleep quality, assessed via validated questionnaires and physiological monitoring. Secondary outcomes will focus on the program's feasibility, participant adherence rates, and overall satisfaction.