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Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 1 Severe hypertension.
Figures and Tables -
Analysis 1.1

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 1 Severe hypertension.

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 2 Severe pre‐eclampsia.
Figures and Tables -
Analysis 1.2

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 2 Severe pre‐eclampsia.

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 3 Eclampsia.
Figures and Tables -
Analysis 1.3

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 3 Eclampsia.

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 4 Elective delivery including elective caesarean section or induction of labour, or both.
Figures and Tables -
Analysis 1.4

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 4 Elective delivery including elective caesarean section or induction of labour, or both.

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 5 Placental abruption.
Figures and Tables -
Analysis 1.5

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 5 Placental abruption.

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 6 Death of baby, including miscarriage, stillbirth, perinatal death, and neonatal death.
Figures and Tables -
Analysis 1.6

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 6 Death of baby, including miscarriage, stillbirth, perinatal death, and neonatal death.

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 7 Death of baby by timing of death.
Figures and Tables -
Analysis 1.7

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 7 Death of baby by timing of death.

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 8 Preterm birth.
Figures and Tables -
Analysis 1.8

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 8 Preterm birth.

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 9 Endotracheal intubation.
Figures and Tables -
Analysis 1.9

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 9 Endotracheal intubation.

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 10 Admission to neonatal intensive care nursery.
Figures and Tables -
Analysis 1.10

Comparison 1 Strict bed rest in hospital versus some rest in hospital, Outcome 10 Admission to neonatal intensive care nursery.

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 1 Severe hypertension.
Figures and Tables -
Analysis 2.1

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 1 Severe hypertension.

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 2 Pre‐eclampsia.
Figures and Tables -
Analysis 2.2

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 2 Pre‐eclampsia.

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 3 Elective delivery, including elective caesarean section or induction of labour, or both.
Figures and Tables -
Analysis 2.3

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 3 Elective delivery, including elective caesarean section or induction of labour, or both.

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 4 Caesarean section.
Figures and Tables -
Analysis 2.4

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 4 Caesarean section.

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 5 Death of baby.
Figures and Tables -
Analysis 2.5

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 5 Death of baby.

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 6 Death of baby by timing of death.
Figures and Tables -
Analysis 2.6

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 6 Death of baby by timing of death.

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 7 Small‐for‐gestational age.
Figures and Tables -
Analysis 2.7

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 7 Small‐for‐gestational age.

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 8 Preterm birth.
Figures and Tables -
Analysis 2.8

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 8 Preterm birth.

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 9 Preterm birth (subgroup by gestational age).
Figures and Tables -
Analysis 2.9

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 9 Preterm birth (subgroup by gestational age).

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 10 Admission to neonatal intensive care unit.
Figures and Tables -
Analysis 2.10

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 10 Admission to neonatal intensive care unit.

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 11 Women satisfied with management.
Figures and Tables -
Analysis 2.11

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 11 Women satisfied with management.

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 12 Women not choosing same management for future pregnancy.
Figures and Tables -
Analysis 2.12

Comparison 2 Some rest in hospital versus routine activity at home, Outcome 12 Women not choosing same management for future pregnancy.

Comparison 1. Strict bed rest in hospital versus some rest in hospital

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Severe hypertension Show forest plot

1

105

Risk Ratio (M‐H, Fixed, 95% CI)

1.18 [0.93, 1.49]

2 Severe pre‐eclampsia Show forest plot

2

145

Risk Ratio (M‐H, Fixed, 95% CI)

1.50 [0.98, 2.30]

3 Eclampsia Show forest plot

1

105

Risk Ratio (M‐H, Fixed, 95% CI)

0.33 [0.01, 7.85]

4 Elective delivery including elective caesarean section or induction of labour, or both Show forest plot

1

105

Risk Ratio (M‐H, Fixed, 95% CI)

1.08 [0.87, 1.34]

5 Placental abruption Show forest plot

1

105

Risk Ratio (M‐H, Fixed, 95% CI)

4.91 [0.24, 99.82]

6 Death of baby, including miscarriage, stillbirth, perinatal death, and neonatal death Show forest plot

2

145

Risk Ratio (M‐H, Fixed, 95% CI)

1.07 [0.52, 2.19]

7 Death of baby by timing of death Show forest plot

2

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

7.1 Stillbirth

2

145

Risk Ratio (M‐H, Fixed, 95% CI)

1.11 [0.45, 2.75]

7.2 Perinatal death

2

145

Risk Ratio (M‐H, Fixed, 95% CI)

1.07 [0.52, 2.19]

7.3 Neonatal death

2

145

Risk Ratio (M‐H, Fixed, 95% CI)

0.99 [0.28, 3.50]

8 Preterm birth Show forest plot

1

105

Risk Ratio (M‐H, Fixed, 95% CI)

0.98 [0.71, 1.35]

9 Endotracheal intubation Show forest plot

1

105

Risk Ratio (M‐H, Fixed, 95% CI)

0.65 [0.11, 3.76]

10 Admission to neonatal intensive care nursery Show forest plot

1

105

Risk Ratio (M‐H, Fixed, 95% CI)

0.75 [0.49, 1.17]

Figures and Tables -
Comparison 1. Strict bed rest in hospital versus some rest in hospital
Comparison 2. Some rest in hospital versus routine activity at home

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Severe hypertension Show forest plot

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

0.58 [0.38, 0.89]

2 Pre‐eclampsia Show forest plot

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

0.98 [0.80, 1.20]

3 Elective delivery, including elective caesarean section or induction of labour, or both Show forest plot

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

0.98 [0.70, 1.37]

4 Caesarean section Show forest plot

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

1.41 [0.79, 2.52]

5 Death of baby Show forest plot

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

1.96 [0.18, 21.34]

6 Death of baby by timing of death Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

6.1 Stillbirth

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

4.91 [0.24, 101.10]

6.2 Perinatal death

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

1.96 [0.18, 21.34]

6.3 Neonatal death

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

0.33 [0.01, 7.95]

7 Small‐for‐gestational age Show forest plot

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

0.98 [0.51, 1.91]

8 Preterm birth Show forest plot

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

0.53 [0.29, 0.99]

9 Preterm birth (subgroup by gestational age) Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

9.1 Birth < 37 weeks

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

0.53 [0.29, 0.99]

9.2 Birth < 34 weeks

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

0.49 [0.09, 2.62]

10 Admission to neonatal intensive care unit Show forest plot

1

218

Risk Ratio (M‐H, Fixed, 95% CI)

0.82 [0.37, 1.81]

11 Women satisfied with management Show forest plot

1

86

Risk Ratio (M‐H, Fixed, 95% CI)

0.98 [0.92, 1.04]

12 Women not choosing same management for future pregnancy Show forest plot

1

86

Risk Ratio (M‐H, Fixed, 95% CI)

3.0 [1.43, 6.31]

Figures and Tables -
Comparison 2. Some rest in hospital versus routine activity at home