The effect of acupressure on pain reduction during first stage of labour: A systematic review and meta-analysis

Raana, Haj Najafi; Fan, Xiao-Nong

doi:10.1016/j.ctcp.2020.101126

Cited by 24 publications

(19 citation statements)

References 36 publications

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“…Moreover, our results showed that acupressure had significant positive effects on decreasing labour pain intensity, and network meta‐analysis indicated that acupressure had 31% probability to be rank 2 on decreasing labour pain, namely acupressure was the most effective way of relieving labour pain other than aromatherapy. This result is similar to a prior systematic review that showed acupressure had an effective role in reducing labour pain during the first stage of labour (Raana & Fan, 2020). Acupressure is a non‐invasive and cost‐effective method that applies constant and firm pressure on acupuncture points using fingertips, thumbs, knuckles or an appropriate acupressure tool.…”

Section: Discussionsupporting

confidence: 90%

“…However, most of these RCTs chose usual care as the control, and only a few compared different non‐pharmacological interventions using head‐to‐head design (Borup et al, 2009; Dehcheshmeh & Rafiei, 2015; Gönenç & Terzioğlu, 2020; Huang et al, 2008; Taghinejad et al, 2010). Additionally, a relatively large number of meta‐analysis have only combined original studies with the same pair of non‐pharmacological methods for labour pain management to evaluate their positive effects (Liao et al, 2020; Raana & Fan, 2020; Rong et al, 2020; Tabatabaeichehr & Mortazavi, 2020). Hence, it remains unclear which type of non‐pharmacological interventions is the most effective for labour pain management.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy and safety of non‐pharmacological interventions for labour pain management: A systematic review and Bayesian network meta‐analysis

Huang

et al. 2021

Journal of Clinical Nursing

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Aims and objectives: To compare and rank the efficacy and safety of nonpharmacological interventions in the management of labour pain. Background: Recently, various non-pharmacological interventions have been applied to manage labour pain and have shown positive effects. However, evidence identifying which type of non-pharmacological intervention is more efficient and safer is limited. Design: Systematic review and Bayesian network meta-analysis based on PRISMA-NMA. Methods: Seven databases were searched from database inception-March 2020. Two reviewers independently performed study selection, quality appraisal and data extraction. Conventional meta-analysis was conducted using either fixed-effects model or random-effects model according to statistical heterogeneity. The Bayesian network meta-analysis was conducted using the consistency model. Results: 43 studies involving nine non-pharmacological interventions were included. The Bayesian network meta-analysis showed that acupressure (SMD = −2.00, 95% CrI −3.09 to −0.94), aromatherapy (SMD = −2.01, 95% CrI −3.70 to −0.35) and massage therapy (SMD = −1.26, 95% CrI −2.26 to −0.30) had significant positive effects on alleviating labour pain, with aromatherapy being the most effective. The results also revealed that yoga (SMD = −130.85, 95% CrI −212.01 to −59.32) and acupressure (SMD = −10.14, 95% CrI −20.24 to −0.41) were the most effective interventions for shortening the first stage and the second stage of labour, respectively. There were no significant differences between non-pharmacological interventions and usual care or placebo control on the use of pharmacological methods and neonatal 5-min Apgar score. Conclusions:The evidence in this network meta-analysis illustrates that nonpharmacological interventions are effective and safe for labour pain management in low-risk pregnant women. In the future, well-designed studies are needed to validate the conclusion of this network meta-analysis. Relevance to clinical practice:The results support the use of non-pharmacological interventions, especially aromatherapy and acupressure, to relieve labour pain in

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Efficacy and safety of non‐pharmacological interventions for labour pain management: A systematic review and Bayesian network meta‐analysis

Huang

et al. 2021

Journal of Clinical Nursing

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“…Ela é decorrente da dilatação cervical, da contração uterina e da extensão do útero e alongamento da vagina. O TP é dividido em três etapas: o primeiro diz respeito ao processo de dilatação cervical completa; o segundo é o período desde a dilatação completa até o nascimento do bebê; e o terceiro é do nascimento até a dequitação da placenta (Tabatabaeichehr; Mortazavi, 2020;Raana;Fan, 2020). A dor da mulher no período do parto pode ser extremamente intensa, com tensão corporal, ansiedade e medo, o que pode piorar esse momento, por isso, o controle eficaz e satisfatório do desconforto ocasionado pela dor, deve ser individualizado para cada gestante, por meio de algumas técnicas estratégicas que podem quebrar o ciclo medo-tensão-dor (Smith et al, 2020).…”

Section: Descritoresunclassified

“…Em contrapartida, quando comparado a cesariana, o parto normal é a forma natural de nascer e apresenta-se como um método mais seguro e com menor tempo de internação para mãe, todavia, a dor e a ansiedade são barreiras para a tomada de decisão de gestantes a favor do parto normal. Sendo assim, a partir da premissa que o conjunto dor-ansiedade são grandes responsáveis pelo aumento do número de cesarianas, faz-se necessário a aplicabilidade também de métodos alternativos, não farmacológicos, com o propósito de promover a maior sensação de alívio da dor e da ansiedade (Raana;Fan, 2020;Mascarenhas, 2019). Research, Society andDevelopment, v. 10, n. 11, e156101119443, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i11.19443 Alguns estudos a respeito de métodos não farmacológicos demonstraram boa eficácia para redução da dor do trabalho de parto e passaram a ser uma opção para substituir a analgesia durante o TP e auxiliar a parturiente a lidar com suas queixas álgicas, são exemplos: massagem, reflexologia, acupuntura, bola suíça, técnicas mente-corpo, hipnose, aromaterapia, musicoterapia, hidroterapia, estimulação elétrica transcutânea, entre outras (Santiváñez-Acosta et al, 2020;Mascarenhas, 2019;Oliveira et al, 2020).…”

Section: Descritoresunclassified

Trabalho de parto: usos de métodos não farmacológicos para alívio da dor

Bigaran

Almeida²,

Barbosa

et al. 2021

RSD

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O parto representa o último estágio da concepção no organismo materno. Durante esse período, a parturiente vivencia uma das percepções dolorosas mais marcantes, cabendo aos profissionais, de forma humanizada, trazer alívio à mulher. A dor é uma experiência emocional e sensorial desagradável, associada a lesões reais ou potenciais. Sob esse aspecto, busca-se suprir a assistência humanizada, que tem extrema importância, com o uso de métodos para alivio da dor, que não levarão a gestante a passar por uma gama de intervenções farmacológicas, o qual muitas vezes podem ser desnecessárias, visto que é de suma importância quando se pensa na importância de manter o estado fisiológico. Diante disso, realizou-se uma revisão integrativa de literatura, descrita como um método de pesquisa que permite a busca, avaliação crítica e a síntese das evidencias disponíveis do tema estudado. Nesse aspecto, é possível perceber que já é conhecido que existem métodos não farmacológicos que favorecem efetivamente na diminuição da dor e da ansiedade durante o parto. Logo, sugere-se mais pesquisas sobre os benefícios de tais métodos, confirmando que estas técnicas são realmente eficazes para a redução da dor e da ansiedade decorrentes do período de parto e possam, dessa forma, serem mais aplicadas nos serviços de assistência obstétrica.

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“…The previous study showed that the duration of the active labor was significantly shorter (p<0.001) in the group receiving acupressure than the control group, and there was also an alleviation in the labor pain (Calik & Komurcu, 2014). Furthermore, a meta-analysis of 10 RCTs studies stated that acupressure could significantly ease the pain during the first stage of labor (Raana & Fan, 2020), and another study of RCTs stated that SP6 acupressure significantly shortened the duration of the first stage of labor in the intervention group compared to the group without intervention (Hulya & Ceber, 2020).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Pelvic Rocking Exercise with a Birth Ball and SP6 Acupressure on Duration of the First and Second Stage of Labor

Karningsih

Purwanti

Yulfitria

et al. 2022

Nurs. Med. J. Nursing

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Background: Long duration of labor increases the pain that a mother experiences. Several non-pharmacological methods, such as pelvic rocking exercises and SP6 acupressure, have been discovered to reduce pain and accelerate labor duration. It needs to be clarified which of the two methods is more effective.Purpose: This study aimed to assess the effectiveness of pelvic rocking exercise with a birth ball and SP6 acupressure in shortening the duration of the active phase in the first and the second stage of labor.Methods: This study used a quasi-experimental design involving 64 mothers in the first stage of normal delivery who were recruited using propensity score matching sampling. The participants were divided into two intervention groups (the pelvic rocking exercise with a birth ball and SP6 acupressure). Each respondent in the two intervention groups was monitored for progress of labor during the active phase in the first stage using a partograph starting from cervical dilatation of 4 cm to 10 cm. The duration of the second stage was assessed by calculating the length of time from cervical dilatation of 10 cm to the delivery of the entire baby. The Mann-Whitney U test was performed to assess the difference between the two interventions in the two stages of labor assessed.Results: There was a difference in the duration of labor in the first stage (p=0.00) and the second stage (p=0.001) between the groups given the pelvic rocking exercise with a birth ball and the SP6 acupressure. The pelvic rocking exercise with a birth ball was found to be more effective in shortening the duration of the active phase in the first stage (Mean rank=19.83) and the second stage of labor (Mean rank=24.56) compared to SP6 acupressure (Mean rank of the first stage=45.17 and Mean rank of the second stage=40.44).Conclusion: The pelvic rocking exercise was found to be more effective compared to SP6 acupressure in shortening the duration of the active phase in the first and the second stage of labor. Pelvic rocking exercise can be implemented to help accelerate labor duration so that mothers can feel more comfortable during the labor.

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The effect of acupressure on pain reduction during first stage of labour: A systematic review and meta-analysis

Cited by 24 publications

References 36 publications

Efficacy and safety of non‐pharmacological interventions for labour pain management: A systematic review and Bayesian network meta‐analysis

Efficacy and safety of non‐pharmacological interventions for labour pain management: A systematic review and Bayesian network meta‐analysis

Trabalho de parto: usos de métodos não farmacológicos para alívio da dor

The Effect of Pelvic Rocking Exercise with a Birth Ball and SP6 Acupressure on Duration of the First and Second Stage of Labor

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