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Associations between maternal characteristics and women’s responses to acupuncture during labour: a secondary analysis from a randomised controlled trial
Dalarna University, School of Education, Health and Social Studies, Medical Science.ORCID iD: 0000-0002-6923-7140
2016 (English)In: Acupuncture in Medicine, ISSN 0964-5284, E-ISSN 1759-9873Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background Patient characteristics are modulators of pain experience after acupuncture treatment for chronic pain. Whether this also applies to labour pain is unknown.

Aim To examine for associations between maternal characteristics and response to acupuncture in terms of labour pain intensity in close proximity to the treatment (within 60 min) and over a longer time period (up to 240 min), and whether or not epidural analgesia is used, before and after adjustment for obstetric status upon admission to the labour ward.

Methods Cohort study (n=253) using data collected for a randomised controlled trial. Associations were examined using linear mixed models and logistic regression analyses. Tests of interactions were also applied to investigate whether maternal characteristics were influenced by treatment group allocation.

Results In close proximity to the treatment, advanced age and cervical dilation were associated with lower pain scores (mean difference (MD) −13.2, 95% CI −23.4 to −2.9; and MD −5.0, 95% CI −9.6 to −0.5, respectively). For the longer time period, labour pain was negatively associated with age (MD −11.8, 95% CI −19.6 to −3.9) and positively associated with dysmenorrhoea (MD 5.5, 95% CI 1.6 to 9.5). Previous acupuncture experience and advanced cervical dilatation were associated with higher and lower use of epidural analgesia (OR 2.7, 95% CI 1.3 to 5.9; and OR 0.3, 95% CI 0.1 to 0.5, respectively). No interactions with treatment allocation were found.

Conclusions This study did not identify any maternal characteristics associated with women's responses to acupuncture during labour.

Trial registration number NCT01197950; Post-results.

Place, publisher, year, edition, pages
Keyword [en]
acupuncture, obstetrics, pain management
National Category
Medical and Health Sciences
Research subject
Health and Welfare
URN: urn:nbn:se:du-23535DOI: 10.1136/acupmed-2016-011164PubMedID: 27986648OAI: oai:DiVA.org:du-23535DiVA: diva2:1051948

Open Access APC 21/2016

Available from: 2016-12-05 Created: 2016-12-05 Last updated: 2016-12-19Bibliographically approved

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