Mothers who have a twin or multiple pregnancy are twice as likely to have preterm
labour than mothers who have only one baby. Bed rest has been widely
recommended to decrease this risk and to improve the baby´s growth.
Key messages
􀃎 The available evidence is not enough to support a policy of routine hospitalisation
for bed rest in multiple pregnancies.
􀃎 Future trials should assess long-term child health outcomes, women´s views of
the care, and costs.