Fox Nathan S, Gelber Shari E, Kalish Robin B, Chasen Stephen T
Department of Obstetrics and Gynecology, Weill Cornell Medical College, New York, NY, USA.
Am J Obstet Gynecol. 2009 Feb;200(2):165.e1-6. doi: 10.1016/j.ajog.2008.08.007. Epub 2008 Nov 18.
The objective of the study was to estimate practice patterns regarding bed rest in women with preterm premature rupture of membranes (PPROM) and arrested preterm labor.
This was a mail-based survey of all Society for Maternal-Fetal Medicine members in the United States asking whether they would recommend bed rest in the setting of arrested preterm labor or PPROM at 26 weeks. Bed rest was defined as no more than 1-2 hours per day out of bed, with permitted activities including bathroom use, bathing, and brief ambulation inside the home/hospital.
Seventy-one percent and 87% would recommend bed rest for women with cervical dilation and arrested preterm labor and women with PPROM, respectively, even though the majority believed bed rest was associated with minimal or no benefit. Female sex, nonacademic practice, and practice location in the South or West were independently associated with the recommendation for bed rest.
Despite the belief that bed rest is associated with minimal or no benefit, most maternal-fetal medicine specialists recommend bed rest for arrested preterm labor and PPROM. Randomized, prospective trials are needed to evaluate the efficacy of bed rest in these settings.
本研究的目的是评估胎膜早破（PPROM）和早产停滞的女性卧床休息的实际模式。
这是一项针对美国母胎医学协会所有成员的邮件调查，询问他们是否会建议在26周时早产停滞或PPROM情况下卧床休息。卧床休息的定义为每天下床时间不超过1 - 2小时，允许的活动包括使用卫生间、洗澡以及在家庭/医院内短距离走动。
尽管大多数人认为卧床休息益处极小或没有益处，但分别有71%和87%的人会建议宫颈扩张且早产停滞的女性以及PPROM的女性卧床休息。女性、非学术性执业以及在南部或西部的执业地点与建议卧床休息独立相关。
尽管认为卧床休息益处极小或没有益处，但大多数母胎医学专家仍建议早产停滞和PPROM的女性卧床休息。需要进行随机前瞻性试验来评估这些情况下卧床休息的疗效。
