OBJECTIVE: To evaluate the effects of Sanyinjiao (SP6) with electroacupuncture on labour pain in women during the labour process.
METHODS: A total of 350 women in labour from three centres were randomly divided into the electroacupuncture group (acupuncture group), the sham electroacupuncture group (sham group) and the control group. Women in labour in the electroacupuncture group received the electroacupuncture on the point Sanyinjiao (SP6). The analgesic effect was self-rated by women in labour, using visual analogue scale (VAS). The duration and paralysis time of uterine contraction, uterine contraction regularity, degree of cervical extension, presentation of foetal descent, the condition of intra-partum haemorrhage and postpartum haemorrhage, labour manner, lochia, involution of uterus, milk secretion, neonate Apgar Score and neonate body height and weight were also measured. All data were analysed with Statistical Package for Social Sciences (SPSS) 12.0.
RESULTS: Labour pain scores from women in the acupuncture group were less than in the control group at needle retaining at 30min, 2 and 4h after needle withdrawal. Other evaluated indices did not show significant differences among the three groups. No adverse events were observed during the labour process.
CONCLUSION: SP6 with electroacupuncture could be an effective way for decreasing labour pain.
INTRODUCTION: Anxiety can be a contributor to labor pain, which is known to be multifactorial. Because there is little information available on the efficacy of birth ball use for labor pain management, this study aimed to evaluate the effectiveness of use of a birth ball on labor pain, contractions, and duration of the active phase of labor. METHODS: In this randomized controlled trial, 60 primiparous women aged 18 to 35 years were divided into birth ball and control groups. Pain scores were measured by a visual analogue scale. RESULTS: Mean pain scores in the birth ball group were significantly lower than the mean pain scores in the control group (<i>P</i> < .05). There were no significant differences between duration of the active phase of labor or the interval between uterine contractions in the 2 groups (<i>P</i> > .05). DISCUSSION: Although the use of a birth ball had no effect on the duration of the active phase of labor, the duration of uterine contractions, or the interval between contractions, this complementary treatment could reduce the intensity of pain during the active phase of labor. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
OBJECTIVE: To assess the role of acupuncture for analgesia during labour.
DESIGN: Double-blind study of manual, electro and sham acupuncture, and single-blind study comparing acupuncture with a control group for analgesia for labour induction.
SETTING: A major obstetric unit in the UK.
POPULATION: A cohort of 105 nulliparae undergoing labour induction at term.
METHODS: Twenty-three subjects needed to be randomised to each group to have an 80% power of detecting a 50% relative reduction in epidural rate with an alpha value of 0.05.
MAIN OUTCOME MEASURES: The primary end point was the rate of intrapartum epidural analgesia, and the secondary end points were parenteral analgesia requirement, labour length, delivery mode, neonatal condition and postpartum haemorrhage.
RESULTS: There was no difference in epidural analgesia between acupuncture and sham acupuncture, relative risk 1.18 (95% CI 0.8-1.74), or between acupuncture and control, relative risk 0.88 (95% CI 0.66-1.19). There were no significant differences in the secondary end points between the acupuncture groups and the control group. Side effects or complications of acupuncture were not identified.
CONCLUSIONS: Using the protocols studied, there was no analgesic benefit with acupuncture for pain relief during induced labour in nulliparae.
This paper reports the results of two trials using midwifery students and a small pilot trial using laywomen as support persons during labor and the feasibility and experiences in organizing such support. In the trials with students, healthy mothers with single, full-term infants not expected to have immediate delivery were randomly allocated to support (n=122) and control (n=118) groups; most mothers had the father of the baby with them. In the support group, a student stayed with the mother constantly. Many students and midwives did not consider constant support by professionals important or requiring special skills. Mothers were very satisfied with having a midwifery student stay with them. The length of hospital stay before birth was shorter and the number of women whose contractions stopped after randomization was smaller. Otherwise, the progress of labor, interventions and the mother's and infant's health were similar in the two groups. In the trial with laywomen, nine out of the ten mothers were ve...
Aim and objective: To test the effectiveness of an efficacy-enhancing educational intervention to promote women’s self-efficacy for childbirth and coping ability in reducing anxiety and pain during labour. BACKGROUND: The evidence of the effective application of the self-efficacy theory in health-promoting interventions has been well established. Little effort has been made by health professionals to integrate self-efficacy theory into childbirth care. DESIGN: Randomised controlled trial. METHODS: An efficacy-enhancing educational intervention based on Bandura’s self-efficacy theory was evaluated. The eligible Chinese first-time pregnant women were randomly assigned to either an experimental group (<i>n</i> = 60) or a control group (<i>n</i> = 73). The experimental group received two 90-minute sessions of the educational programme in between the 33rd–35th weeks of pregnancy. Follow-up assessments on outcome measures were conducted within 48 hours after delivery. The short form of the Chinese Childbirth Self-Efficacy Inventory was used to measure maternal self-efficacy prior to labour. Evaluation of pain and anxiety during the three stages of labour and performance of coping behaviour during labour were measured by the Visual Analogue Scale and Childbirth Coping Behaviour Scale respectively. RESULTS: The experimental group was significantly more likely than the control group to demonstrate higher levels of self-efficacy for childbirth (<i>p</i> < 0.0001), lower perceived anxiety (<i>p</i> < 0.001, early stage and<i> p</i> = 0.02, middle stage) and pain (<i>p</i> < 0.01, early stage and <i>p</i> = 0.01, middle stage) and greater performance of coping behaviour during labour (<i>p</i> < 0.01). CONCLUSIONS: The educational intervention based on Bandura’s self-efficacy theory is effective in promoting pregnant women’s self-efficacy for childbirth and reducing their perceived pain and anxiety in the first two stages of labour. Relevance to clinical practice: Relief of pain and anxiety is an important issue for both women and childbirth health professionals. The efficacy-enhancing educational intervention should be further developed and integrated into childbirth educational interventions for promoting women’s coping ability during childbirth. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
To evaluate the effects of Sanyinjiao (SP6) with electroacupuncture on labour pain in women during the labour process.
METHODS:
A total of 350 women in labour from three centres were randomly divided into the electroacupuncture group (acupuncture group), the sham electroacupuncture group (sham group) and the control group. Women in labour in the electroacupuncture group received the electroacupuncture on the point Sanyinjiao (SP6). The analgesic effect was self-rated by women in labour, using visual analogue scale (VAS). The duration and paralysis time of uterine contraction, uterine contraction regularity, degree of cervical extension, presentation of foetal descent, the condition of intra-partum haemorrhage and postpartum haemorrhage, labour manner, lochia, involution of uterus, milk secretion, neonate Apgar Score and neonate body height and weight were also measured. All data were analysed with Statistical Package for Social Sciences (SPSS) 12.0.
RESULTS:
Labour pain scores from women in the acupuncture group were less than in the control group at needle retaining at 30min, 2 and 4h after needle withdrawal. Other evaluated indices did not show significant differences among the three groups. No adverse events were observed during the labour process.
CONCLUSION:
SP6 with electroacupuncture could be an effective way for decreasing labour pain.
