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Hospitalisation and bed rest for multiple pregnancy.
Caroline A Crowther1, Shanshan Han
1ARCH: Australian Research Centre for Health of Women and Babies, Discipline of Obstetrics and Gynaecology, The University of Adelaide, Women's and Children's Hospital, 72 King William Road, Adelaide, South Australia, Australia, 5006.
The Cochrane Database of Systematic Reviews
|July 9, 2010
Summary
Routine hospital bed rest for multiple pregnancies does not prevent preterm birth or perinatal death. While it may slightly decrease low birthweight infants, evidence does not support its routine clinical use.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Neonatology
Background:
- Historically, bed rest in a hospital setting was a common recommendation for women with multiple pregnancies.
- This practice aimed to prevent adverse outcomes such as preterm birth.
Purpose of the Study:
- To evaluate the effectiveness of hospital bed rest for multiple pregnancies in preventing preterm birth.
- To assess the impact on fetal, neonatal, and maternal outcomes.
Main Methods:
- A systematic review of randomized trials was conducted.
- Searched the Cochrane Pregnancy and Childbirth Group's Trials Register.
- Included seven trials involving 713 women and 1452 babies.
Main Results:
- Routine hospital bed rest did not reduce the risk of preterm birth or perinatal mortality.
- A potential decrease in low birthweight infants was observed (RR 0.92, 95% CI 0.85-1.00).
- No significant differences were found in other neonatal or maternal outcomes, including hypertension and caesarean delivery.
Conclusions:
- Insufficient evidence supports routine hospital bed rest for multiple pregnancies.
- The policy is not recommended for routine clinical practice due to lack of demonstrated benefit in preventing preterm birth or perinatal death.
- Further research is needed to clarify potential benefits on fetal growth.
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