Bed Rest to Prevent Preterm Birth

Paper Summary:

Loss of pregnancy before 23 weeks happens in 10 - 20 % of pregnancies. It is associated with chromosomal defects in about one half to one third of the cases. Many interventions are used, but bed rest is the most common. The objective of this review is to evaluate the effect of prescription of bed rest during pregnancy to prevent miscarriage in women at high risk. The paper concludes that although bed rest is widely used to reduce the risk for preterm birth, there is no evidence that this practice is beneficial. Further research evidence is needed to support or refute the efficacy of bed rest in women with high risk for miscarriage.

From the Paper:

"Currently there is not enough evidence to support the use of bed rest in multiple fetus pregnancies. Although there is a suggestion that fetal growth is improved, no other risk reduction is evident. For uncomplicated twin pregnancies, the risk is actually increased if bed rest is used. Further research evidence is necessary to be able to recommend this clinical practice."

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