2013/05/08 by Christina A. McCall, David A. Grimes, Anne Drapkin Lyerly · 1 citation
Medicine · #Abortion #Autonomy #Bed rest #Beneficence #Birth, Development, and Health #Intensive care medicine #Internal medicine #Law #Medicine #Neonatal Respiratory Health Research #Obstetrics #Political science #Pregnancy #Pregnancy and preeclampsia studies #Rest (music) #Surgery #Therapeutic abortion
paper · doi:10.1097/aog.0b013e318293f12f
openalex publication_date 2013/05/08 · openalex created_date 2016/06/24 · openalex updated_date 2026/08/03
In Brief “Therapeutic” bed rest continues to be used widely, despite evidence of no benefit and known harms. In this commentary, we summarize the Cochrane reviews of bed rest and propose an ethical argument for discontinuing this practice. Cochrane systematic reviews do not support “therapeutic” bed rest for threatened abortion, hypertension, preeclampsia, preterm birth, multiple gestations, or impaired fetal growth. This assessment has been echoed in other comprehensive reviews. Prescribing bed rest is inconsistent with the ethical principles of autonomy, beneficence, and justice. Hence, if bed rest is to be used, it should be only within a formal clinical trial. “Therapeutic” bed rest in pregnancy continues to be prescribed, despite lack of benefit and established harms; prescribing it for obstetric indications outside of controlled clinical trials is unethical.