Acupuncture Administered After Spontaneous Rupture of Membranes at Term Significantly Reduces the Length of Birth and Use of Oxytocin: A Randomized Controlled Trial
“…Most rationales referred to neurochemical effects [11,12,14,17,18,20e22,24,31,32,38,41e43, 45,52,55,57,59,60,63,71,73,75,79,83], but also autonomic regulation [10,22,30,39], neuromuscular [40,70], or other neuromodulating effects [16,46,49,50] …”
Section: Resultsmentioning
confidence: 99%
“…Ten of these studies had rationales [14,18,21,22,24,45,50,55,59,75] but any rationale was largely unnecessary to differentiate acupuncture from nonacupuncture controls. Statistically significant differences in effects were observed in 18 studies (82%) ( Table 1) in which acupuncture was added to usual care [21,22,24,36,47,50,56,59,75e78] or compared to an alternate treatment [14,18,29,58,68] or no acupuncture [45].…”
“…Most rationales referred to neurochemical effects [11,12,14,17,18,20e22,24,31,32,38,41e43, 45,52,55,57,59,60,63,71,73,75,79,83], but also autonomic regulation [10,22,30,39], neuromuscular [40,70], or other neuromodulating effects [16,46,49,50] …”
Section: Resultsmentioning
confidence: 99%
“…Ten of these studies had rationales [14,18,21,22,24,45,50,55,59,75] but any rationale was largely unnecessary to differentiate acupuncture from nonacupuncture controls. Statistically significant differences in effects were observed in 18 studies (82%) ( Table 1) in which acupuncture was added to usual care [21,22,24,36,47,50,56,59,75e78] or compared to an alternate treatment [14,18,29,58,68] or no acupuncture [45].…”
“…Different mechanisms were hypothesized to explain the effect of acupuncture on initiation of labor, one of which is increasing oxytocin secretion from anterior pituitary gland and thalamic nuclei. In support of this view, Gaudernack et al [15,16] suggested that acupuncture decreases the oxytocin requirement to induce labor. Notably, shortening the active phase of labor can decrease fatal complications such as low Apgar score, nerve injury, infections, and maternal complications including puerperal infection and postpartum hemorrhage [17].…”
Nowadays, acupuncture is widely used to manage pain, and childbirth is a condition requiring appropriate pain management interventions. The efficacy of acupuncture in the management of labor pain has recently been studied, but the results are not satisfactory and conflicts exist. In this study, we investigated the effects of acupuncture on labor pain, serum cortisol level, and duration of labor. We conducted a randomized, single-blind, controlled trial that included 63 nulliparous women: 32 in the study group and 31 in the control group. Acupuncture was performed at the SP-6 and the LI-4 points in the study group, and sham acupuncture was performed at the same points in the control group. Pain scores and serum cortisol levels were measured before and after the intervention. Changes in these measures and in the duration of labor were compared between the groups. No significant variations in pain scores or serum cortisol levels were observed between the two control groups. However, the duration of labor was significantly lower (p < 0.001) in the group receiving real acupuncture. Our results show that acupuncture is significantly associated with a decreased duration of labor, even though it was no better than a placebo for the treatment of labor pain.
“…La durée de travail a été réduite de manière statistiquement significative (différence moyenne de 1,7 heures, p = 0,03) ainsi que l'utilisation d'ocytocine dans le groupe acupuncture comparé au groupe témoin. Par ailleurs, le groupe acupuncture avait une durée significativement plus courte de la phase active du travail que celle du groupe témoin (différence moyenne de 3,6 h ; p = 0,002) [18].…”
Section: En Préparation Maternelle Maturation Du Col Et Induction Du unclassified
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