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Edzard Ernst - One of the best experts on this subject based on the ideXlab platform.

  • acupuncture for Labor Pain management a systematic review
    American Journal of Obstetrics and Gynecology, 2004
    Co-Authors: Hyangsook Lee, Edzard Ernst
    Abstract:

    Acupuncture is widely used to alleviate symptoms in a variety of Painful conditions. In obstetrics and gynecology, acupuncture has also been applied to a range of conditions including Labor Pain. This systematic review aims to critically evaluate the evidence on analgesic effect of acupuncture during Labor. Computerized literature searches of 7 databases were performed for randomized clinical trials (RCTs) of acupuncture involving needle insertion for Pain during Labor. Three RCTs were identified and their methodologic quality was generally good. Two RCTs compared adjunctive acupuncture with usual care only and reported a reduction of meperidine and/or epidural analgesia. One placebo acupuncture controlled trial showed a statistically significant difference in both subjective and objective outcome measures of Pain. No adverse events were reported in any of the trials. It is concluded that the evidence for acupuncture as an adjunct to conventional Pain control during Labor is promising but, because of the paucity of trial data, not convincing. Further research is warranted to clearly define its place in Labor Pain management.

  • Complementary and alternative medicine for Labor Pain: a systematic review.
    American journal of obstetrics and gynecology, 2004
    Co-Authors: Alyson L Huntley, Joanna Thompson Coon, Edzard Ernst
    Abstract:

    Abstract Objectives The purpose of this study was to systematically review the literature for, and critically appraise, randomized controlled trials of any type of complementary and alternative therapies for Labor Pain. Study design Six electronic databases were searched from their inception until July 2003. The inclusion criteria were that they were prospective, randomized controlled trials, involved healthy pregnant women at term, and contained outcome measures of Labor Pain. Results Our search strategy found 18 trials. Six of these did not meet our inclusion criteria. The remaining 12 trials involved acupuncture (2), biofeedback (1), hypnosis (2), intracutaneous sterile water injections (4), massage (2), and respiratory autogenic training (1). Conclusion There is insufficient evidence for the efficacy of any of the complementary and alternative therapies for Labor Pain, with the exception of intracutaneous sterile water injections. For all the other treatments described it is impossible to make any definitive conclusions regarding effectiveness in Labor Pain control.

Scott Segal - One of the best experts on this subject based on the ideXlab platform.

Ulla Waldenström - One of the best experts on this subject based on the ideXlab platform.

  • Acupressure to reduce Labor Pain: a randomized controlled trial
    Acta obstetricia et gynecologica Scandinavica, 2010
    Co-Authors: Anna Hjelmstedt, Sheela T. Shenoy, Elisabet Stener-victorin, Mats Lekander, M. Bhat, Leena Balakumaran, Ulla Waldenström
    Abstract:

    Objective. To evaluate the effect of acupressure administered during the active phase of Labor on nulliparous women’s ratings of Labor Pain. Design. Randomized controlled trial. Setting. Public hospital in India. Sample. Seventy-one women randomized to receive acupressure at acupuncture point spleen 6 (SP6) on both legs during contractions over a 30-minute period (acupressure group), 71 women to receive light touch at SP6 on both legs during the same period of time (touch group) and 70 women to receive standard care (standard care group). Methods. Experience of in-Labor Pain was assessed by visual analog scale at baseline before treatment, immediately after treatment, and at 30, 60 and 120 minutes after treatment. Main outcome measure. Labor Pain intensity at different time intervals after treatment compared with before treatment. Results. A reduction of in-Labor Pain was found in the acupressure group and was most noticeable immediately after treatment (acupressure group vs. standard care group p < 0.001; acupressure group vs. touch group p < 0.001). Conclusion. Acupressure seems to reduce Pain during the active phase of Labor in nulliparous women giving birth in a context in which social support and epidural analgesia are not available. However, the treatment effect is small which suggests that acupressure may be most effective during the initial phase of Labor.

Jeanne Raisler - One of the best experts on this subject based on the ideXlab platform.

  • Ice Massage for the Reduction of Labor Pain
    Journal of midwifery & women's health, 2003
    Co-Authors: Bette L. Waters, Jeanne Raisler
    Abstract:

    The current study investigated the use of ice massage of the acupressure energy meridian point large intestine 4 (LI4) to reduce Labor Pain during contractions. LI4 is located on the medial midpoint of the first metacarpal, within 3 to 4 mm of the web of skin between the thumb and forefinger. A one-group, pretest, posttest design was chosen, which used 100-mm Visual Analog Scales (VAS) and the McGill Pain Questionnaire (MPQ) ranked numerically and verbally to measure Pain levels; the pretest served as the control. Study participants were Hispanic and white Medicaid recipients who received prenatal care at a women's clinic staffed by certified nurse-midwives and obstetricians. Participants noted a Pain reduction mean on the VAS of 28.22 mm on the left hand and 11.93 mm on the right hand. The postdelivery ranked MPQ dropped from number 3 (distressing) to number 2 (discomforting). The study results suggest that ice massage is a safe, noninvasive, nonpharmacological method of reducing Labor Pain.

Sanjay Datta - One of the best experts on this subject based on the ideXlab platform.