The Effect of Accupressure on Hyperemesis Gravidarum and Birth Delivery Pain in Pregnant Women: A Meta Analysis

Abstract

Background: Nausea and vomiting in pregnancy is a common condition experienced by 50-80% of pregnant women between 6 to 12 weeks of pregnancy. Acupressure stimulation can stimulate and increase blood circulation and vital energy, so as to maintain normal body functions. The purpose of this study was to determine the effect of acupressure on hyperemesis gravidarum and labor pain in pregnant and childbirth women. Subjects and Method: This was a metaanalysis and systematic study. The articles used were obtained from PubMed, Science Direct and Google Scholar. The inclusion criteria used were full text articles with Randomized Control Trial (RCT) design. Research subjects are pregnant women or giving birth. The intervention given was acupressure with the comparison not being given acupressure or fake acupressure, articles published in English and Indonesian. The PICO research problems were as follows: Population= pregnant women and childbirth, Intervention= giving acupressure, Compa-rison= sham acupressure or without acupressure, Outcome= reduced intensity of nausea and vomiting and labor pain. The study was conducted using an effect size (Standardized Mean Difference). Meta-analysis was carried out using RevMan 5.3 with a random effect model. Results:A total of 20 articles were reviewed in a meta-analysis in this study. Meta-analysis of 9 articles showed acupressure was effective in reducing hyperemesis gravidarum. Pregnant women who received acupressure therapy experienced hyperemesis gravidarum 0.8 units lower than those without acupressure (SMD=-0.84; 95% CI= -1.18 to -0.5; p<0.001). A metaanalysis of 11 articles showed that acupressure was effective in reducing labor pain. Pregnant women who received acupressure therapy experienced labor pain 1.8 units lower than without acupressure (SMD= -1.83; 95% CI= -2.37 to -1.29; p < 0.001). Conclusion:Acupressure can reduce the intensity of nausea and vomiting in pregnant women who experience hyperemesis gravidarum as well as the intensity of labor pain in pregnant women.

Akupresure Titik P6 Efektif dalam Menurunkan Frekuensi Emesis pada Ibu Hamil Trimester I

“…Meskipun mual sering terjadi pada pagi hari, namun bisa muncul kapan saja, termasuk malam hari. Masalah ini terjadi pada 50-80% kehamilan muda dan terjadi pada usia kehamilan mulai dari 6 hingga 12 minggu (Fitriana et al, 2021).…”

“…Rangsangan pada titik P6 memiliki kemampuan untuk mengatasi gejala mual dan muntah. Terapi tambahan berupa akupresur di titik tersebut dapat dianggap sebagai jenis terapi yang aman dan cukup efektif dalam mengurangi mual dan muntah pada wanita hamil (Fitriana et al, 2021) (Elisabet et al, 2023), terapi akupresur terbukti efektif dalam mengurangi nilai skor PUQE dalam rentang waktu 24 jam setelah intervensi jika dibandingkan dengan kelompok kontrol yang hanya menerima suplemen vitamin B6 (Fitriana et al, 2021;Wang et al, 2024) .…”