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Archives of Gynecology and Obstetrics

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01-01-2019 | Maternal-Fetal Medicine

Effects of electroacupuncture on reducing labor pain and complications in the labor analgesia process of combined spinal–epidural analgesia with patient-controlled epidural analgesia

Authors: Jinfeng Xiao, Wei Yi, Lingling Wu

Published in: Archives of Gynecology and Obstetrics | Issue 1/2019

Abstract

Purpose

To compare the pain scores and rates of complications in the labor analgesia process between the two groups.

Methods

There were 127 participants being recruited in this research, and randomly divided into 2 groups according to the anesthetic technique: CSEA with PCEA with EA group (group 1), CSEA with PCEA group (group 2). Group 1 was first operated CSEA and PCEA, then EA at Hegu (LI4), Neiguan (PC6), Zusanli (ST36) and Sanyinjiao (SP6) by HANS-200A device for 25 min. Group 2 was only treated by CSEA and PCEA. The main outcome was the VAS for labor pain. Meanwhile the complications, use of oxytocin, durations of three stages, delivery mode, cord blood pH and neonatus Apgar score in this study were considered as secondary outcomes.

Results

After labor analgesia, the VAS scores of group 1 at the five point-in-times were all lower than that of group 2. The rates of fever and urinary retention of group 1 were lower compared with group 2. Group 1 had less usage of oxytocin and shorter durations of cervical dilation from 3 to 10 cm and third stage than group 2.

Conclusions

EA can help to reduce labor pain in CSEA with PCEA labor analgesia process, and may be able to reduce the complications.

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Title: Effects of electroacupuncture on reducing labor pain and complications in the labor analgesia process of combined spinal–epidural analgesia with patient-controlled epidural analgesia
Authors: Jinfeng Xiao
Wei Yi
Lingling Wu
Publication date: 01-01-2019
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 1/2019
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-018-4955-6

At a glance: The STEP trials

Springer Medicine

Effects of electroacupuncture on reducing labor pain and complications in the labor analgesia process of combined spinal–epidural analgesia with patient-controlled epidural analgesia

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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