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The Effects of Hospitalization for Bed Rest on Duration of Gestation, Fetal Growth and Neonatal Morbidity in Triplet Pregnancy

Published online by Cambridge University Press:  01 August 2014

C.A. Crowther ,
D.A.A. Verkuyl ,
M.F. Ashworth ,
C. Bannerman  and
H.M. Ashurst
C.A. Crowther*
Affiliation:
Department of Obstetrics and Gynaecology, Zimbabwe
D.A.A. Verkuyl
Affiliation:
Department of Obstetrics and Gynaecology, Zimbabwe
M.F. Ashworth
Affiliation:
Department of Obstetrics and Gynaecology, Zimbabwe
C. Bannerman
Affiliation:
Department of Paediatrics, Harare Central Hospital, Southerton, Zimbabwe
H.M. Ashurst
Affiliation:
National Perinatal Epidemiology Unit, Radcliffe Infirmary, Oxford, UK
*
Dept. of Obstetrics & Gynaecology, University of Adelaide, GPO, Box 498, Adelaide, South Australia 5001

Abstract

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Nineteen women attending a special multiple pregnancy antenatal clinic with a triplet pregnancy were randomly allocated to either bed rest in hospital from 24 weeks gestation onwards until delivery, or to continue conventional outpatient management. Conclusions are limited by the trial size, but the study suggests that routine hospitalization for bed rest decreases the incidence of preterm delivery and light-for-gestational age infants and reduces the need for intensive neonatal care. Although still compatible with change variation, the observations, if confirmed in a larger randomized study, would have considerable implications for clinical practice. The policy needs further evaluation in a large multicentred collaborative study.

Keywords

HospitalizationBed restTripletsPreterm deliveryBirth weightNeonatal morbidity
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 40 , Issue 1 , January 1991 , pp. 63 - 68
Copyright
Copyright © The International Society for Twin Studies 1991

References

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