Decrease of pregnant women's pelvic pain after acupuncture: a randomized controlled single‐blind study

Lund, Irène; Lundeberg, Thomas; Lönnberg, Lena; Svensson, Elisabeth

doi:10.1080/00016340500317153

Cited by 57 publications

(76 citation statements)

References 22 publications

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“…We concluded that acupuncture stimulation that is individually designed may be a valuable treatment strategy to ameliorate suffering in the condition of pelvic pain in late pregnancy. 118 This suggestion is supported by other studies.…”

Section: Effects Of Acupuncture In Women With Visceral Pain Dysmenorrsupporting

confidence: 81%

“…117 Recently, we carried out a prospective randomised controlled single blind study in pregnant women with pelvic pain. 118 After acupuncture stimulation, significant systematic group changes towards lower levels of pain intensity at rest and in daily activities as well as in rated emotional reaction and loss of energy were seen. The results also showed additional individual changes in most variables.…”

Section: Effects Of Acupuncture In Women With Visceral Pain Dysmenorrmentioning

confidence: 99%

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Is it All about Sex? Acupuncture for the Treatment of Pain from a Biological and Gender Perspective

Lund

Lundeberg

2008

Acupunct Med

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Pain is a unique personal experience showing variability where gender and sex related effects might contribute. The mechanisms underlying the differences between women and men are currently unknown but are likely to be complex and involving interactions between biological, sociocultural and psychological aspects. In women, painful experimental stimuli are generally reported to produce a greater intensity of pain than in men. Clinical pain is often reported with higher severity and frequency, longer duration, and present in a greater number of body regions in women than in men. Women are also more likely to experience a number of painful conditions such as fibromyalgia, temporomandibular dysfunction, migraine, rheumatoid arthritis and irritable bowel syndrome. With regard to biological factors, quantitative as well as qualitative differences in the endogenous pain inhibitory systems have been implicated, as well as an influence of gonadal hormones. Psychosocial factors like sex role beliefs, pain coping strategies, and pain related expectancies may also contribute to the differences. Being exposed to repeated painful visceral events (eg menses, labour) during life may contribute to an increased sensitivity to, and greater prevalence of, pain among women. When assessing the outcome of pharmacological and non-pharmacological therapies in pain treatment, the factors of gender and sex should be taken into account as the response to an intervention may differ. Preferably, treatment recommendations should be based on studies using both women and men as the norm. Due to variability in results, findings from animal studies and experiments in healthy subjects should be interpreted with care.

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Section: Effects Of Acupuncture In Women With Visceral Pain Dysmenorrsupporting

confidence: 81%

Section: Effects Of Acupuncture In Women With Visceral Pain Dysmenorrmentioning

confidence: 99%

Is it All about Sex? Acupuncture for the Treatment of Pain from a Biological and Gender Perspective

Lund

Lundeberg

2008

Acupunct Med

Self Cite

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“…The full texts of the remaining 114 articles were assessed, of which 17 were included. These were eight SRs [10][11][12][13][14][15][16][17] and nine RCTs [18][19][20][21][22][23][24][25][26][27] (Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…Four more RCTs [18][19][20][21] were added that had been published after the literature search was conducted for this review.…”

Section: Low-back and Pelvic Pain During Pregnancymentioning

confidence: 99%

Efficacy and Safety of Needle Acupuncture for Treating Gynecologic and Obstetric Disorders: An Overview

Selva

Zapata

Solà

et al. 2013

Medical Acupuncture

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Background: Acupuncture is being used increasingly to treat gynecologic and obstetric disorders. Objective: The aim of this review was to determine the efficacy and safety of acupuncture for treating pelvic and low-back pain during pregnancy, pain during labor, primary dysmenorrhea, and menopausal symptoms. Design: This is an overview of systematic reviews (SRs) and randomized controlled trials (RCTs). Search strategy: A literature search was conducted, in July 2010, in MEDLINE,Ò the Cochrane Database of Systematic Reviews, CENTRAL, the Database of Abstracts of Reviews of Effects, and Tripdatabase. Selection criteria: Published SRs and RCTs found during the literature search were included as well as RCTs that were published after completion of the literature search. Analysis: Data from SRs and RCTs that provided quantitative information were pooled. Results: Eight SRs and nine RCTs were included. One SR and 4 RCTs showed that acupuncture reduced pelvic and low-back pain, compared to physiotherapy or usual prenatal care. Results were contradictory when interventions were compared with sham acupuncture. With respect to reduction of pain during labor, two SRs showed no differences between acupuncture and sham acupuncture. None of the three SRs included on primary dysmenorrhea produced conclusive results. Two SRs of studies on menopausal symptoms showed no differences between acupuncture and sham acupuncture. A meta-analysis of three additional RCTs identified a favorable effect of acupuncture for reducing frequency and intensity of hot flashes. Adverse effects were mild and infrequent. Conclusions: Evidence for the efficacy of needle acupuncture for treating the disorders evaluated remains inconclusive. The intervention showed promising results for reducing pelvic and back pain during pregnancy and climacteric vasomotor symptoms, although well-designed studies are needed to make the results more precise and reliable.

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“…An additional trial by Lund and colleagues found no difference between acupuncture and a sham control. 16 The use of moxibustion has been evaluated in two systematic reviews both of which suggest promising evidence of an increase in cephalic presentation. 17 18 Two systematic reviews found a benefit from acupuncture with providing effective pain relief in labour.…”

Section: Research Synthesismentioning

confidence: 99%

Caring for the Pregnant Woman and Her Baby in a Changing Maternity Service Environment: The Role of Acupuncture

Smith

Dahlen

2009

Acupunct Med

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Women have traditionally been high users of complementary therapies and use of these therapies continues during pregnancy and birthing. While women look to acupuncture and other therapies to support them during this time, traditional maternity services are in a state of change. In Australia, there is an increase in births, a workforce crisis, an increase in birthing in labour ward settings, few opportunities for women to birth at home, increased caesarean sections and an increase in obstetric interventions. The future role of acupuncture in this changed environment will be influenced by the evidence of safety and effectiveness of acupuncture. Research evaluating acupuncture during the antenatal period, labour preparation and birthing is small in quantity, but there are encouraging findings suggesting acupuncture maybe safe and effective. Women have prioritised interventions to manage pregnancy symptoms such as nausea and back pain, and interventions to prepare for labour and manage pain in labour as important. Further acupuncture trials are needed to ensure women have reliable and valid information to inform their decision making. Assessment of safety requires contributions from researchers, practitioners and integration with institutional data collection systems. Research of effectiveness should involve rigorous designs, but with debate about the appropriateness of traditional randomised controlled trial designs to evaluate complex interventions, and the limitations of sham controls, different approaches with mixed research methods should be considered. Exploring new research methods, especially those which explore the woman's experience with acupuncture, are also key to defining a role in the future.

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Decrease of pregnant women's pelvic pain after acupuncture: a randomized controlled single‐blind study

Abstract: Acupuncture stimulation that is individually designed may be a valuable treatment to ameliorate suffering in the condition of pelvic pain in late pregnancy.

Cited by 57 publications

References 22 publications

Is it All about Sex? Acupuncture for the Treatment of Pain from a Biological and Gender Perspective

Is it All about Sex? Acupuncture for the Treatment of Pain from a Biological and Gender Perspective

Efficacy and Safety of Needle Acupuncture for Treating Gynecologic and Obstetric Disorders: An Overview

Caring for the Pregnant Woman and Her Baby in a Changing Maternity Service Environment: The Role of Acupuncture

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