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Int J Gynaecol Obstet. 2016 Oct;135(1):5-10. doi: 10.1016/j.ijgo.2016.04.017. Epub 2016 Jul 29.

Meta-analysis of the effect of acupressure on duration of labor and mode of delivery.

Author information

1
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address: mirzaiikh@mums.ac.ir.
3
Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

BACKGROUND:

Acupressure is increasing in popularity as an alternative treatment in obstetrics and gynecology.

OBJECTIVES:

To summarize and assess evidence regarding the effects of acupressure on duration of labor and mode of delivery.

SEARCH STRATEGY:

Four major databases and Google Scholar were searched using terms related to labor and acupressure, without language restrictions, up to November 2015.

SELECTION CRITERIA:

Randomized controlled trials were included if they examined the effect of acupressure at any acupoint during childbirth on duration of labor and/or mode of delivery.

DATA COLLECTION AND ANALYSIS:

Two reviewers independently extracted data. The outcome measures were duration of labor and mode of delivery. Random-effects models were used to pool results.

MAIN RESULTS:

Thirteen studies were included in meta-analyses. Acupressure increased the chance of vaginal delivery when compared with placebo/no intervention (odds ratio [OR] 2.329, 95% confidence interval [CI] 1.348-4.024, P=0.002; risk difference [RD] 8.9%, 95% CI 2.7%-15.0%, P=0.005). Acupressure decreased the duration of the active phase by 1.310 hours (95% CI -1.738 to -0.882; P<0.001) and the second stage of labor by 5.808 minutes (95% CI -1.615 to -0.807; P<0.001).

CONCLUSIONS:

Acupressure could have a role in reducing the rate of cesarean delivery and decreasing the duration of labor in parturient women. However, there is a need for more reliable randomized controlled trials.

KEYWORDS:

Acupressure; Cesarean delivery; Childbirth; First stage of labor; Labor duration; Second stage of labor

PMID:
27569023
DOI:
10.1016/j.ijgo.2016.04.017
[Indexed for MEDLINE]

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