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Expert Q&A:
Is it safe to use a heating pad for my sore back, at 24 weeks pregnant?

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Margaret Freda
Answered by Margaret Freda Ed.D., R.N., C.H.E.S., F.A.A.N.
"I've been a professional nurse working with pregnant women and parenting families since 1966," says Margaret Comerford Freda. "Pregnant women and parents need to know as much as possible about their own health and that of their children."

Margaret Comerford Freda, Ed.D., R.N., C.H.E.S., F.A.A.N., is a Professor in the Department of Obstetrics &; Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, and also serves as Director of Patient Education Programs for that department. Since 1993, Dr. Freda has been the Consultant for Nursing at the National March of Dimes Birth Defects Foundation and the Chair of the National March of Dimes Nurse Advisory Council. In addition, Dr. Freda serves as the editor of MCN, The American Journal of Maternal Child Nursing.

Dr. Freda received her Master's Degree in Nursing from New York University and her doctorate in Health Education from Columbia University. She has worked in women's health for her entire professional career. Dr. Freda has published 50 research articles in professional journals, and is a frequently invited speaker at nursing and medical conferences. She has written two books: Perinatal Patient Education, published by Lippincott Williams &; Wilkins, and Miscarriage After Infertility, published by Fairview Press, written with her daughter Carrie Semelsberger, who is also a nurse.

Dr. Freda has received several noteworthy awards, such as the Distinguished Professional Service Award and the First National Award for Excellence in Nursing Research from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), the Woman of Distinction Award and the Maternal Child Nurse of the Year Award from the March of Dimes, the Patient Care Award for Excellence in Patient Education from the American Academy of Family Physicians, the Research Recognition Award from Molloy College, and several Outstanding Research Paper awards at national conferences. She serves on the Scientific Advisory Council for the March of Dimes, and was selected to serve on the Select Panel of the Centers for Disease Control to advise on prenatal health. Dr. Freda has developed patient education booklets and videotapes that are now distributed nationally.

Dr. Freda has been married for four decades. She has two daughters, two sons-in-law, three grandsons, and a granddaughter.
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Question


Is it safe to use a heating pad for my sore back, at 24 weeks pregnant?

Answer


Heating pads are generally safe for sore backs, but you have to be careful when using them. Some heating pads become extremely hot and have burned people. Some people fall asleep while on heating pads and become overheated. As you probably know, it's not good for a pregnant woman to become too overheated, so if you want to use a heating pad, and your doctor says it's OK, I’d suggest that you buy one with a feature that forces you to hold a clicker down to make it hot. This is a great safety feature, for you hold it down, the heating pad heats up, you let go, and then it gradually cools until you consciously hold the clicker down again for additional heat. You can't fall asleep and keep the heat on by mistake, for if you do, your finger will fall off the clicker! If you use a heating pad, be sure to use it for only the recommended amount of time (usually for 20 minutes, twice or three times a day).

You also might find some relief for your back if you put your feet up several times a day, and if you discontinue carrying heavy objects. Let someone else carry the groceries or the laundry, and don't pick up small children (sit on a chair and pull them towards you instead of standing and picking them up). Sit whenever possible, and try to rest with your feet up twice a day, even if it's at work during a coffee break. A twin pregnancy can be a challenge, but the rewards are great!
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