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Published in: Archives of Gynecology and Obstetrics 3/2015

01-03-2015 | Maternal-Fetal Medicine

Effects of electro-acupuncture on labor pain management

Authors: Chris Dong, Linhua Hu, Fengbing Liang, Songying Zhang

Published in: Archives of Gynecology and Obstetrics | Issue 3/2015

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Abstract

Purpose

To evaluate the effects of a non-pharmacologic electro-acupuncture method at different acupoints on labor pain management.

Methods

Nulliparous women under the maternity care of the Department of Obstetrics and Gynecology of Sir Run Run Shaw Hospital were recruited and allocated into two experimental groups (EX-B2 group and SP6 group) and one control group, each with 60 eligible participants. Visual analog scale (VAS) was used to assess the pain during active phase of labor before and 30, 60, 120 min after intervention. The duration of active phase, the duration of second stage of labor, the duration of third stage of labor, use of oxytocin, neonatal birth weight, neonatal Apgar score at 1 and 5 min were considered as secondary outcomes of this study.

Results

After 30 min intervention, the mean VAS scores of both EX-B2 group and SP6 group were significantly decreased compared with the control group (P < 0.01); however, no significant difference was observed between the two experimental groups (P > 0.05). After 60 and 120 min intervention, the mean VAS scores of EX-B2 group were significantly lower than SP-6 group (P < 0.05). Both EX-B2 group and SP6 group had significant lower VAS scores after interventions and shorter time used in active phase of labor than the control group (P < 0.05).

Conclusions

The study revealed that the application of electro-acupuncture at EX-B2 and SP6 acupoints could be used as a non-pharmacologic method to reduce labor pain and shorten the duration of active phase of labor.
Literature
1.
go back to reference Zhang J, Liu Y, Meikle S, Zheng J et al (2008) Cesarean delivery on maternal request in southeast China. Obstet Gynecol 111(5):1077–1082CrossRefPubMed Zhang J, Liu Y, Meikle S, Zheng J et al (2008) Cesarean delivery on maternal request in southeast China. Obstet Gynecol 111(5):1077–1082CrossRefPubMed
2.
go back to reference Yerby M (1996) Managing pain in labour. Part 3: pharmacological methods of pain relief. Mod Midwife 6(5):22–25 Yerby M (1996) Managing pain in labour. Part 3: pharmacological methods of pain relief. Mod Midwife 6(5):22–25
3.
go back to reference Skelton IF, Flowerdew MW (1988) Acupuncture and labour—a summary of results. Midwives Chron 101(1204):134–137PubMed Skelton IF, Flowerdew MW (1988) Acupuncture and labour—a summary of results. Midwives Chron 101(1204):134–137PubMed
4.
go back to reference Fant L, Strömberg M, Utvärdering av akupunkturbehanding vid förlossning (2000) Evaluation of acupuncture treatment during labour. Sven Tidskrift Med Akupunkt 3:5–10 Fant L, Strömberg M, Utvärdering av akupunkturbehanding vid förlossning (2000) Evaluation of acupuncture treatment during labour. Sven Tidskrift Med Akupunkt 3:5–10
5.
go back to reference Rammerö A, Hanson U, Kihlgren M (2002) Acupuncture treatment during labor–a randomized controlled trial. BJOG 109(6):637–644 Rammerö A, Hanson U, Kihlgren M (2002) Acupuncture treatment during labor–a randomized controlled trial. BJOG 109(6):637–644
6.
go back to reference Fox EJ, Melzack R (1976) Transcutaneous electrical stimulation and acupuncture: comparison of treatment for low-back pain. Pain 2(2):141–148CrossRefPubMed Fox EJ, Melzack R (1976) Transcutaneous electrical stimulation and acupuncture: comparison of treatment for low-back pain. Pain 2(2):141–148CrossRefPubMed
7.
go back to reference Chao AS, Chao A, Wang TH et al (2007) Pain relief by applying transcutaneous electrical nerve stimulation (TENS) on acupuncture points during the first stage of labor: a randomized double-blind placebo-controlled trial. Pain 127(3):214–220CrossRefPubMed Chao AS, Chao A, Wang TH et al (2007) Pain relief by applying transcutaneous electrical nerve stimulation (TENS) on acupuncture points during the first stage of labor: a randomized double-blind placebo-controlled trial. Pain 127(3):214–220CrossRefPubMed
8.
go back to reference Lee H, Ernst E (2004) Acupuncture for labor pain management: a systematic review. Am J Obstet Gynecol 191(5):1573–1579CrossRefPubMed Lee H, Ernst E (2004) Acupuncture for labor pain management: a systematic review. Am J Obstet Gynecol 191(5):1573–1579CrossRefPubMed
9.
go back to reference Bo QX, Zhang JX (2006) Observation on therapeutic effect of scalp acupuncture analgesia on labor. Zhongguo Zhen Jiu 26(9):659–661PubMed Bo QX, Zhang JX (2006) Observation on therapeutic effect of scalp acupuncture analgesia on labor. Zhongguo Zhen Jiu 26(9):659–661PubMed
10.
go back to reference Sjölund B, Terenius L, Eriksson M (1977) Increased cerebrospinal fluid levels of endorphins after electro-acupuncture. Acta Physiol Scand 100(3):382–384CrossRefPubMed Sjölund B, Terenius L, Eriksson M (1977) Increased cerebrospinal fluid levels of endorphins after electro-acupuncture. Acta Physiol Scand 100(3):382–384CrossRefPubMed
13.
go back to reference Peng T, Li XT, Zhou SF et al (2010) Transcutaneous electrical nerve stimulation on acupoints relieves labor pain: a non-randomized controlled study. Chin J Integr Med 16(3):234–238CrossRefPubMed Peng T, Li XT, Zhou SF et al (2010) Transcutaneous electrical nerve stimulation on acupoints relieves labor pain: a non-randomized controlled study. Chin J Integr Med 16(3):234–238CrossRefPubMed
14.
go back to reference Augustinsson LE, Bohlin P, Bundsen P et al (1977) Pain relief during delivery by transcutaneous electrical nerve stimulation. Pain 4(1):59–65CrossRefPubMed Augustinsson LE, Bohlin P, Bundsen P et al (1977) Pain relief during delivery by transcutaneous electrical nerve stimulation. Pain 4(1):59–65CrossRefPubMed
15.
go back to reference Skilnand E, Fossen D, Heiberg E (2002) Acupuncture in the management of pain in labor. Acta Obstet Gynecol Scand 81(10):943–948CrossRefPubMed Skilnand E, Fossen D, Heiberg E (2002) Acupuncture in the management of pain in labor. Acta Obstet Gynecol Scand 81(10):943–948CrossRefPubMed
16.
go back to reference Hantoushzadeh S, Alhussem N, Lebaschi H (2007) The effects of acupuncture during labor on nulliparous women: a randomized controlled trial. Aust N Z J Obstet Gynaecol 47(1):26–30CrossRefPubMed Hantoushzadeh S, Alhussem N, Lebaschi H (2007) The effects of acupuncture during labor on nulliparous women: a randomized controlled trial. Aust N Z J Obstet Gynaecol 47(1):26–30CrossRefPubMed
17.
go back to reference Kashaman M, Shahali S (2009) Effects of acupressure at the sanyinjiao point (SP6) on the process of active phase of labor in nulliparas women. J Matern Fetal Neonatal Med 15:1–4CrossRef Kashaman M, Shahali S (2009) Effects of acupressure at the sanyinjiao point (SP6) on the process of active phase of labor in nulliparas women. J Matern Fetal Neonatal Med 15:1–4CrossRef
18.
go back to reference Hajipour L, Ziyaie S, Pouresmail Z et al (2009) Influence of acupuncture on duration of labor. J Guilan Univ Med Sci 18(70):50–56 Hajipour L, Ziyaie S, Pouresmail Z et al (2009) Influence of acupuncture on duration of labor. J Guilan Univ Med Sci 18(70):50–56
19.
Metadata
Title
Effects of electro-acupuncture on labor pain management
Authors
Chris Dong
Linhua Hu
Fengbing Liang
Songying Zhang
Publication date
01-03-2015
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 3/2015
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-014-3427-x

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