Format

Send to

Choose Destination
J Obstet Gynaecol Res. 2017 Apr;43(4):662-668. doi: 10.1111/jog.13269.

Acupressure as adjuvant treatment for the inpatient management of nausea and vomiting in early pregnancy: A double-blind randomized controlled trial.

Author information

1
Department of Obstetrics and Gynaecology, Faculty of Medicine, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
2
Department of Obstetrics and Gynaecology, Hospital Raja Permaisuri Bainun, Ipoh, Malaysia.

Abstract

AIM:

To evaluate the efficacy of acupressure at the Neiguan point (Pericardium [P]6) as adjuvant treatment during inpatient management of severe nausea and vomiting in pregnancy.

METHODS:

Low risk, spontaneously conceived singleton pregnancies were randomly assigned to a treatment group, who received an acupressure band placed at the Neiguan point (P6) or a placebo group who received an otherwise identical non-stimulating wristband. Participants wore the band for 12 h daily for the first three days of admission. The primary outcome measure was the severity of symptoms of nausea, vomiting and retching, recorded according to Pregnancy-Unique Quantification of Emesis and Nausea score.

RESULTS:

There was a statistically significant improvement in Pregnancy-Unique Quantification of Emesis and Nausea scores from day 1 until day 3 of admission in the treatment group compared with the placebo. Patients who received Neiguan point acupressure also showed a significant improvement in their ketonuria scores. The treatment group required a shorter hospital stay compared with the placebo. The only reported side effect of the acupressure band was redness on the wrist.

CONCLUSIONS:

The use of the acupressure band at the Neiguan point (P6) for 12 h daily for three days for inpatients with hyperemesis gravidarum significantly reduced the symptoms of nausea, vomiting and retching and ketonuria and led to a reduction in hospital stay. We recommend the use of the acupressure band at the Neiguan point (P6) as an adjunct/supplementary therapy to co-exist with the standard care of management for hyperemesis gravidarum, particularly in low-risk pregnant women.

KEYWORDS:

Neiguan point; acupressure; adjuvant treatment; hyperemesis gravidarum; nausea; vomiting

PMID:
28418209
DOI:
10.1111/jog.13269
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center