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Evidence for 3 Common Obstetrical Practices: A Systematic Review.

Allison Engo1, Jacques Balayla2

  • 1Faculty of Medicine and Health Sciences, McGill University, Montréal, QC.

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|April 17, 2026
PubMed
Summary
This summary is machine-generated.

Rethinking common obstetrical practices is crucial. While maternal oxygenation and bedrest lack proven benefits and carry risks, side-sleeping after 28 weeks significantly reduces stillbirth risk, supporting evidence-based care.

Keywords:
bed restevidence-based medicineobstetricsoxygen inhalation therapypregnancystillbirth

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Evidence-Based Medicine

Background:

  • Many obstetrical practices lack robust evidence, stemming from tradition or theoretical benefits.
  • Emerging research questions the safety and efficacy of common interventions.
  • A critical reevaluation is needed for optimal patient outcomes and resource utilization.

Purpose of the Study:

  • To systematically review the evidence for maternal oxygenation during labor, bedrest during pregnancy, and side-sleeping recommendations.
  • To assess the clinical efficacy and safety of these widely used obstetrical practices.
  • To inform evidence-based guidelines in obstetrics.

Main Methods:

  • Systematic review adhering to PRISMA guidelines.
  • Comprehensive literature search across major databases.
  • Data synthesis of outcomes, risk of bias, and clinical efficacy.

Main Results:

  • Maternal oxygenation during labor showed no neonatal benefits and potential harms.
  • Pregnancy bedrest did not reduce adverse outcomes and incurred burdens.
  • Maternal side-sleeping after 28 weeks significantly reduced stillbirth risk.

Conclusions:

  • Maternal oxygenation and bedrest should not be routinely recommended due to lack of efficacy and potential risks.
  • Maternal side-sleeping after 28 weeks is a safe, effective intervention to reduce stillbirth.
  • Evidence-based guidelines must evolve to ensure high standards of obstetrical care.