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Acupuncture with manual and electrical stimulation for labour pain: a two month follow up of recollection of pain and birth experience.
Dalarna University, School of Education, Health and Social Studies, Medical Science. Karolinska institutet.ORCID iD: 0000-0002-6923-7140
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.ORCID iD: 0000-0003-4123-405X
2015 (English)In: BMC Complementary and Alternative Medicine, ISSN 1472-6882, Vol. 15, 180Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: In a previous randomised controlled trial we showed that acupuncture with a combination of manual- and electrical stimulation (EA) did not affect the level of pain, as compared with acupuncture with manual stimulation (MA) and standard care (SC), but reduced the need for other forms of pain relief, including epidural analgesia. To dismiss an under-treatment of pain in the trial, we did a long-term follow up on the recollection of labour pain and the birth experience comparing acupuncture with manual stimulation, acupuncture with combined electrical and manual stimulation with standard care. Our hypothesis was that despite the lower frequency of use of other pain relief, women who had received EA would make similar retrospective assessments of labour pain and the birth experience 2 months after birth as women who received standard care (SC) or acupuncture with manual stimulation (MA).

METHODS: Secondary analyses of data collected for a randomised controlled trial conducted at two delivery wards in Sweden. A total of 303 nulliparous women with normal pregnancies were randomised to: 40 min of MA or EA, or SC without acupuncture. Questionnaires were administered the day after partus and 2 months later.

RESULTS: Two months postpartum, the mean recalled pain on the visual analogue scale (SC: 70.1, MA: 69.3 and EA: 68.7) did not differ between the groups (SC vs MA: adjusted mean difference 0.8, 95 % confidence interval [CI] -6.3 to 7.9 and SC vs EA: mean difference 1.3 CI 95 % -5.5 to 8.1). Positive birth experience (SC: 54.3 %, MA: 64.6 % and EA: 61.0 %) did not differ between the groups (SC vs MA: adjusted Odds Ratio [OR] 1.8, CI 95 % 0.9 to 3.7 and SC vs EA: OR 1.4 CI 95 % 0.7 to 2.6).

CONCLUSIONS: Despite the lower use of other pain relief, women who received acupuncture with the combination of manual and electrical stimulation during labour made the same retrospective assessments of labour pain and birth experience 2 months postpartum as those who received acupuncture with manual stimulation or standard care.

TRIAL REGISTRATION: ClinicalTrials.gov: NCT01197950.

Place, publisher, year, edition, pages
2015. Vol. 15, 180
Keyword [en]
Lessing, Ben, Outsider, Other, post-colonial theory, psychoanalytical theory
National Category
Health Sciences
Research subject
Hälsa och välfärd, Akupunktur som smärtlindring vid förlossning - En randomiserad kontrollerad studie
Identifiers
URN: urn:nbn:se:du-18737DOI: 10.1186/s12906-015-0708-2ISI: 000357254700001PubMedID: 26066641OAI: oai:DiVA.org:du-18737DiVA: diva2:842591
Available from: 2015-07-21 Created: 2015-07-21 Last updated: 2015-07-24Bibliographically approved

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CiteExportLink to record
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Citation style
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