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Manual and electroacupuncture for labour pain. Study design of a longitudinal randomized controlled trial
Dalarna University, School of Education, Health and Social Studies, Medical Science. Karolinska Institutet.ORCID iD: 0000-0002-6923-7140
2013 (English)Conference paper, Poster (Other academic)
Abstract [en]

Introduction: Results from previous acupuncture studies for labour pain are contradictory and lack important information on methodology. The sample sizes are in general small, information about the intervention such as needle placement, number of acupuncture points, type of stimulation, and duration of treatment, is often sparse or lacking However, studies indicate that acupuncture has a positive effect on women’s experiences of labour pain.

 

Aim: The aim of the present study was to evaluate the efficacy of two different acupuncture stimulations, manual or electrical stimulation, compared with standard care in the relief of labour pain. Our hypothesis is that acupuncture with manual or electrical stimulation is more effective than standard care in the relief of labor pain, and that acupuncture with electrical stimulation is the most effective.

Outcome measures: Primary outcome: Labour pain measured with visual analogue scale (VAS). Secondary outcomes are use of epidural analgesia, experience of relaxation, labour outcomes and infant outcomes. Biochemical markers of proinflammatory cytokines, memory of labour pain and overall childbirth experience.

Methods: The study was designed as a randomized controlled trial based on Western medical theories. Nulliparous women with normal pregnancies admitted to the delivery ward after a spontaneous onset of labour were randomly allocated into one of three groups: manual acupuncture, electroacupuncture or standard care. Sample size calculation gave 101 women in each group, including a total of 303 women. VAS was used for assessing pain every 30 minutes for five hours and thereafter every hour until birth. Questionnaires were distributed before treatment, directly after the birth, and at one day and two months postpartum. Blood samples were collected before and after the first treatment.

At the conference, information on the design of the study will be presented and the considerations of whether to use placebo controls or not will be discussed.

ClinicalTrials.gov: NCT01197950

Place, publisher, year, edition, pages
2013.
National Category
Other Medical Sciences not elsewhere specified
Research subject
Hälsa och välfärd
Identifiers
URN: urn:nbn:se:du-13493OAI: oai:DiVA.org:du-13493DiVA: diva2:678020
Conference
SAR International Symposium of Acupuncture Research, Ann Arbor, Michigan, USA, April 18-21, 2013
Projects
Akupunktur som smärtlindring under förlossning
Available from: 2013-12-11 Created: 2013-12-11 Last updated: 2015-06-23Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
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  • asciidoc
  • rtf