BED REST IN PREGNANCY

OBJECTIVETo summarize existing data about the effectiveness of bed rest when used to improve various pregnancy outcomes and to determine how often bed rest is used and the cost associated with its use. DATA SOURCESWe used the MEDLINE data base to search for all English language papers evaluating the...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 1994-07, Vol.84 (1), p.131-136
Hauptverfasser: Goldenberg, Robert L, Cliver, Suzanne P, Bronstein, Janet, Cutter, Gary R, Andrews, William W, Mennemeyer, Stephen T
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container_end_page 136
container_issue 1
container_start_page 131
container_title Obstetrics and gynecology (New York. 1953)
container_volume 84
creator Goldenberg, Robert L
Cliver, Suzanne P
Bronstein, Janet
Cutter, Gary R
Andrews, William W
Mennemeyer, Stephen T
description OBJECTIVETo summarize existing data about the effectiveness of bed rest when used to improve various pregnancy outcomes and to determine how often bed rest is used and the cost associated with its use. DATA SOURCESWe used the MEDLINE data base to search for all English language papers evaluating the effectiveness of bed rest in pregnancy. We also reviewed a number of textbooks and the 1988 National Infant Mortality Survey. METHODS OF STUDY SELECTIONWe reviewed these sources for recommendations about using bed rest in various obstetric conditions. We used the 1988 National Infant Mortality Survey to determine how often bed rest was used either to prevent or to treat various obstetric conditions and estimated the costs associated with its use. DATA EXTRACTION AND SYNTHESISBed rest is used in nearly 20% of all pregnancies to prevent or treat a wide variety of conditions, including spontaneous abortion, preterm labor, fetal growth retardation, edema, chronic hypertension, and preeclampsia. There is little evidence of effectiveness. The estimated costs associated with bed rest, including hospitalization, lost wages, and lost domestic productivity, range from more than $250 million to billions of dollars per year. CONCLUSIONSBed rest is used extensively to treat a wide variety of pregnancy conditions, at substantial cost but with little proof of effectiveness. We recommend that because this intervention has failed the test of effectiveness, its use during pregnancy should be curtailed unless randomized trials demonstrate improvement in a specific outcome.
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DATA SOURCESWe used the MEDLINE data base to search for all English language papers evaluating the effectiveness of bed rest in pregnancy. We also reviewed a number of textbooks and the 1988 National Infant Mortality Survey. METHODS OF STUDY SELECTIONWe reviewed these sources for recommendations about using bed rest in various obstetric conditions. We used the 1988 National Infant Mortality Survey to determine how often bed rest was used either to prevent or to treat various obstetric conditions and estimated the costs associated with its use. DATA EXTRACTION AND SYNTHESISBed rest is used in nearly 20% of all pregnancies to prevent or treat a wide variety of conditions, including spontaneous abortion, preterm labor, fetal growth retardation, edema, chronic hypertension, and preeclampsia. There is little evidence of effectiveness. The estimated costs associated with bed rest, including hospitalization, lost wages, and lost domestic productivity, range from more than $250 million to billions of dollars per year. CONCLUSIONSBed rest is used extensively to treat a wide variety of pregnancy conditions, at substantial cost but with little proof of effectiveness. 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The estimated costs associated with bed rest, including hospitalization, lost wages, and lost domestic productivity, range from more than $250 million to billions of dollars per year. CONCLUSIONSBed rest is used extensively to treat a wide variety of pregnancy conditions, at substantial cost but with little proof of effectiveness. 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Cliver, Suzanne P ; Bronstein, Janet ; Cutter, Gary R ; Andrews, William W ; Mennemeyer, Stephen T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2517-51c14e2fa379608277f2496b66aa8c1cb3f248f907c9c0194cefd226949746fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Bed Rest - adverse effects</topic><topic>Bed Rest - economics</topic><topic>Bed Rest - utilization</topic><topic>Cost of Illness</topic><topic>Cost-Benefit Analysis</topic><topic>Data Collection</topic><topic>Female</topic><topic>Health Care Costs</topic><topic>Hospitalization - economics</topic><topic>Humans</topic><topic>Infant Mortality</topic><topic>Infant, Newborn</topic><topic>Obstetrics - methods</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - economics</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Pregnancy Complications - therapy</topic><topic>Pregnancy Outcome</topic><topic>Primary Prevention - economics</topic><topic>Primary Prevention - methods</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Salaries and Fringe Benefits</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goldenberg, Robert L</creatorcontrib><creatorcontrib>Cliver, Suzanne P</creatorcontrib><creatorcontrib>Bronstein, Janet</creatorcontrib><creatorcontrib>Cutter, Gary R</creatorcontrib><creatorcontrib>Andrews, William W</creatorcontrib><creatorcontrib>Mennemeyer, Stephen T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goldenberg, Robert L</au><au>Cliver, Suzanne P</au><au>Bronstein, Janet</au><au>Cutter, Gary R</au><au>Andrews, William W</au><au>Mennemeyer, Stephen T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>BED REST IN PREGNANCY</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1994-07</date><risdate>1994</risdate><volume>84</volume><issue>1</issue><spage>131</spage><epage>136</epage><pages>131-136</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>OBJECTIVETo summarize existing data about the effectiveness of bed rest when used to improve various pregnancy outcomes and to determine how often bed rest is used and the cost associated with its use. DATA SOURCESWe used the MEDLINE data base to search for all English language papers evaluating the effectiveness of bed rest in pregnancy. We also reviewed a number of textbooks and the 1988 National Infant Mortality Survey. METHODS OF STUDY SELECTIONWe reviewed these sources for recommendations about using bed rest in various obstetric conditions. We used the 1988 National Infant Mortality Survey to determine how often bed rest was used either to prevent or to treat various obstetric conditions and estimated the costs associated with its use. DATA EXTRACTION AND SYNTHESISBed rest is used in nearly 20% of all pregnancies to prevent or treat a wide variety of conditions, including spontaneous abortion, preterm labor, fetal growth retardation, edema, chronic hypertension, and preeclampsia. There is little evidence of effectiveness. The estimated costs associated with bed rest, including hospitalization, lost wages, and lost domestic productivity, range from more than $250 million to billions of dollars per year. CONCLUSIONSBed rest is used extensively to treat a wide variety of pregnancy conditions, at substantial cost but with little proof of effectiveness. We recommend that because this intervention has failed the test of effectiveness, its use during pregnancy should be curtailed unless randomized trials demonstrate improvement in a specific outcome.</abstract><cop>United States</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>8008308</pmid><tpages>6</tpages></addata></record>
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subjects Bed Rest - adverse effects
Bed Rest - economics
Bed Rest - utilization
Cost of Illness
Cost-Benefit Analysis
Data Collection
Female
Health Care Costs
Hospitalization - economics
Humans
Infant Mortality
Infant, Newborn
Obstetrics - methods
Pregnancy
Pregnancy Complications - economics
Pregnancy Complications - epidemiology
Pregnancy Complications - therapy
Pregnancy Outcome
Primary Prevention - economics
Primary Prevention - methods
Randomized Controlled Trials as Topic
Salaries and Fringe Benefits
Treatment Outcome
title BED REST IN PREGNANCY
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