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Bed rest for pregnancy-related hypertension: evidence is weak.(News)

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| December 01, 2005 | Finn, Robert | COPYRIGHT 2005 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Although physicians have long recommended bed rest or restricted activity for pregnant women with hypertension, a systematic review of available studies found only weak evidence that this practice benefits women or their children.

In the review, published by the Cochrane Collaboration, Shireen Meher, M.D., of the University of Liverpool (U.K.), and colleagues were able to identify only four studies involving a total of 449 women that directly addressed this issue (Cochrane Database of Systematic Reviews 2005, Issue 4, Art. No. CD003514.pub2. DOI: 10.1002/14651858. CD003514.pub2).

Two of the studies enrolled women hospitalized for preeclampsia (proteinuric hypertension) and compared some rest with strict bed rest. These two trials failed to find any significant differences between the groups on any measure.

The other two trials, one of which the authors described as having "uncertain" quality, compared some bed rest in the hospital with routine activity at home for nonproteinuric hypertension. One of those studies found the risk of severe hypertension reduced by 42% and the risk of preterm birth reduced by 47% in women getting some bed rest in the hospital.

Although those results reached statistical ...

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Source: HighBeam Research, Bed rest for pregnancy-related hypertension: evidence is weak.(News)

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