Hello... me again, guys!
I know I've been posting a lot, but no patient was scheduled for me here (ah, research settings!) and I'm bored to tears so I have pleeeeenty of time to surf the net!
And well, I was making a few modifications to my schedule here so people take it easy during my transfer week and are aware that I might not be available on my possible ER/ET dates... and that got me thinking.
What do I want to do in terms of taking it easy after my transfer?
So I thought about some of the Do's and Don'ts I read on the thread here... and I did a MEDLine search (scientific articles). Here's my two cents:
Just a note about baths. It's TRUE that you can't take baths for a good week after any surgery that left a wound
on your skin. Some clinics do egg retrieval through general anaesthesia and laparoscopy. Of course people can't take baths then because of infection risks! They have surgery wounds!! But with more "mainstream" ER, there's no reason to worry about infections. The thing about hottubs is that pregnant women are told to be very CAREFUL about taking too hot jacuzzis (same for kids under 12), because the too hot water could make their blood pressure rise too much and cause trouble. But they're not forbidden to take hot tubs or jacuzzis because of that; just told to be careful about water temperature.
I checked on MEDline for scientific articles on IVF and specifically about bed rest. I don't remember who here is a massage therapist and talked about the dangers of bed rest for blood circulation, but she was totally right. ALL of the studies I read concluded that bed rest after embryo transfer, whether as little as 20 minutes after transfer or 24 hours after transfer, has
absolutely no impact on implantation or pregnancy rates.
The reason why some clinics still recommend it is that, at the very beginning of IVF procedures, when the knowledge was not as detailed as it is today, doctors recommended complete bed rest because it was the logical thing for them to do. And then gradually, people started to question that and tested that theory. The results are there, and on thousands of IVF patients.
It makes no difference. If your clinic recommends you 48 hours of complete bed rest, I would want to discuss the recent scientific findings with them if I were you.
Some studies went further than just testing whether or not bed rest makes a difference, however. They tested whether bed rest had a
negative impact on implantation and pregnancy rates. Some studies found it is the case. They compared a 20 minutes bed rest after transfer to a 24h bed rest and found that the women who were in bed rest for 24 hours had significantly
lower implantation and pregnancy rates than the others!
Some of these studies also tested other things patients did despite what their clinic recommended: walking slower, no exercise at all, avoiding stairs, and so on. Again...
no impact on implantation or pregnancy whatsoever.
It's tempting for me to do all these things anyway as well; I'm like all of you, I want to give it the best try possible. However, I'll keep these studies in mind and I'll keep the nurse's advice in mind. Don't misunderstand me; I certainly won't blame someone for taking some time off to focus on themselves, pamper themselves or just cope with stress by keeping a stressor (e.g. work) at bay for a few days. And I don't judge those who'll choose to do all kinds of small and big extra things in hopes that it will impact on their chances, but I'll do my best to avoid doing that. I feel that women do these things to feel better about themselves and be reassured, but medically, all the evidence points towards the fact that it has no impact whatsoever. And in some cases, when you limit yourself so much that you either become overstressed, unhappy, or impair your blood flow by staying too inactive, it can actually impact
negatively on your chances.
My two cents... that info helped me; it might help others.
Sophie
