Bed rest in hospital for suspected impaired fetal growth.
BACKGROUND
Bed rest in hospital or at home is widely advised for many complications of pregnancy. The increased clinical supervision needs to be balanced with the risk of thrombosis, the stress on the pregnant women, as well as the costs to families and health services.


OBJECTIVE
The objective of this review was to assess the effects of bed rest in hospital for women with suspected impaired fetal growth.


METHODS
We searched the Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register. Date of last search: December 1999.


METHODS
Randomised trials comparing a policy of bed rest in hospital with ambulatory management for women with suspected impaired fetal growth.


METHODS
Trial quality was assessed.


RESULTS
One study involving 107 women was included. Allocation of treatment was by odd or even birth date. There were differences in baseline fetal weights and birth weights, but these were not statistically significant (mean estimated fetal weight deviation at enrolment was -21.7% for the bed rest group and -20.7% for the ambulatory group; mean estimated birth weight was -19.7% for the bed rest group and -20.6% for the ambulatory group). No differences were detected between bed rest and ambulatory management for fetal growth parameters (relative risk 0.43, 95% confidence interval: 0.15 to 1. 27) and neonatal outcomes.


CONCLUSIONS
There is not enough evidence to evaluate the use of a bed rest in hospital policy for women with suspected impaired fetal growth.
Gülmezoglu
A M
AM
Special Department of Research, Development and Research Training in Human Reproduction, UNDP/UNFPA/WHO/World Bank, World Health Organisation, Geneva 27, Switzerland, CH-1211. gulmezoglum@who.ch
Hofmeyr
G J
GJ
D001510:Bed Rest; D005260:Female; D005317:Fetal Growth Retardation / Q000517:prevention & control*; D020567:Fetal Weight; D006760:Hospitalization; D006801:Humans; D011247:Pregnancy