Research: TORKZAHRANI and COLLEAGUES,

Listed in Issue 264

Abstract

TORKZAHRANI and COLLEAGUES, 1. Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 2. Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: mahmodi2020@yahoo.com ; 3. Acupuncturist, Acupuncture Medicine Association, Tehran, Iran; 4. School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 5. Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran conducted a randomized clinical trial to study the effect of acupressure on the initiation of labour.

Background

Induction of labour is a common obstetric procedure. Acupressure is a natural method that is used for inducing uterine contractions. Nevertheless, few studies have examined the impact of acupressure on the induction of labour. Aim: The aim of this study was to evaluate the effect of acupressure on the initiation of labour.

Methodology

In this randomized clinical trial, 162 nulliparous pregnant women were admitted to the hospital. They were categorized into 3 groups; acupressure, sham acupressure and control. Acupressure points SP6, BL 60 and BL 32 were pressured bilaterally. The intervention was done by the researcher every other day between 9 am and 11 am. The intervention was carried out on women in the afternoon and the following day. Subjects were examined to determine the initiation of labour symptoms48 and 96h after the start of intervention and at the time of hospitalization. Data were analyzed using the ANOVA, Kruskal-Wallis and Chi-square tests (p<0.05).

Results

There was no significant difference among the groups for spontaneous initiation of labour within 48h (P=0.464), and 49-96h after beginning the intervention (P=0.111) and 97h after beginning the intervention to the time of hospitalization for the spontaneous initiation of labour (P=0.897). There were no significant differences in the secondary outcomes between the groups.

Conclusion

According to the finding of this study, it seems that acupressure treatment was not effective in initiating labour as compared with the sham acupressure and the routine care groups.

References

Torkzahrani S1, Mahmoudikohani F2, Saatchi K3, Sefidkar R4, Banaei M5. The effect of acupressure on the initiation of labor: A randomized controlled trial. Women Birth. 30(1):46-50. Feb 2017.doi: 10.1016/j.wombi.2016.07.002. Epub Jul 18 2016.

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