Treatment During Labour: A Randomised Controlled Trial
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FROM: BJOG 2002; 109 (6) Jun: 637644
Ramnero A, Hanson U, Kihlgren M
Department of Obstetrics and Gynaecology, Orebro University Hospital, Sweden
DESIGN: Randomised controlled trial. SETTING: Delivery ward at a tertiary care centre hospital in Sweden.
POPULATION: Ninety parturients who delivered during the period April 12, 1999 and June 4, 2000.
METHODS: Forty-six parturients were randomised to receive acupuncture treatment during labour as a compliment, or an alternative, to conventional analgesia. MAIN OUTCOME MEASURES: Assessments of pain intensity and degree of relaxation during labour, together with evaluation of delivery outcome.
RESULTS: Acupuncture treatment during labour significantly reduced the need of epidural analgesia (12% vs 22%, relative risk [RR] 0.52, 95% confidence interval [CI] 0.30 to 0.92). Parturients who received acupuncture assessed a significantly better degree of relaxation compared with the control group (mean difference -0.93, 95% CI -1.66 to -0.20). No negative effects of acupuncture given during labour were found in relation to delivery outcome.
The results suggest that acupuncture could be a good alternative or complement
to those parturients who seek an alternative to pharmacological analgesia
in childbirth. Further trials with a larger number of patients are required
to clarify if the main effect of acupuncture during labour is analgesic