Acupuncture for pain relief during induced labour in nulliparae: a randomised controlled study

I Z Mackenzie, J Xu, C Cusick, H Midwinter-Morten, H Meacher, Jill Ann Mollison, M Brock

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective To assess the role of acupuncture for analgesia during labour.

Design Double-blind study of manual, electro and sham acupuncture, and single-blind study comparing acupuncture with a control group for analgesia for labour induction.

Setting A major obstetric unit in the UK.

Population A cohort of 105 nulliparae undergoing labour induction at term.

Methods Twenty-three subjects needed to be randomised to each group to have an 80% power of detecting a 50% relative reduction in epidural rate with an alpha value of 0.05.

Main outcome measures The primary end point was the rate of intrapartum epidural analgesia, and the secondary end points were parenteral analgesia requirement, labour length, delivery mode, neonatal condition and postpartum haemorrhage.

Results There was no difference in epidural analgesia between acupuncture and sham acupuncture, relative risk 1.18 (95% CI 0.8–1.74), or between acupuncture and control, relative risk 0.88 (95% CI 0.66–1.19). There were no significant differences in the secondary end points between the acupuncture groups and the control group. Side effects or complications of acupuncture were not identified.

Conclusions Using the protocols studied, there was no analgesic benefit with acupuncture for pain relief during induced labour in nulliparae.
Original languageEnglish
Pages (from-to)440-447
Number of pages8
JournalBJOG-An International Journal of Obstetrics and Gynaecology
Volume118
Issue number4
Early online date18 Jan 2011
DOIs
Publication statusPublished - Mar 2011

Fingerprint

Induced Labor
Acupuncture
Pain
Epidural Analgesia
Analgesia
Acupuncture Analgesia
Single-Blind Method
Postpartum Hemorrhage
Acupuncture Points
Control Groups
Double-Blind Method
Obstetrics
Analgesics
Outcome Assessment (Health Care)

Keywords

  • Acupuncture Analgesia
  • Adult
  • Analgesia, Obstetrical
  • Double-Blind Method
  • Female
  • Humans
  • Labor Pain
  • Labor, Induced
  • Parity
  • Pregnancy
  • Treatment Outcome

Cite this

Acupuncture for pain relief during induced labour in nulliparae : a randomised controlled study. / Mackenzie, I Z; Xu, J; Cusick, C; Midwinter-Morten, H; Meacher, H; Mollison, Jill Ann; Brock, M.

In: BJOG-An International Journal of Obstetrics and Gynaecology, Vol. 118, No. 4, 03.2011, p. 440-447.

Research output: Contribution to journalArticle

Mackenzie, I Z ; Xu, J ; Cusick, C ; Midwinter-Morten, H ; Meacher, H ; Mollison, Jill Ann ; Brock, M. / Acupuncture for pain relief during induced labour in nulliparae : a randomised controlled study. In: BJOG-An International Journal of Obstetrics and Gynaecology. 2011 ; Vol. 118, No. 4. pp. 440-447.
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abstract = "Objective To assess the role of acupuncture for analgesia during labour. Design Double-blind study of manual, electro and sham acupuncture, and single-blind study comparing acupuncture with a control group for analgesia for labour induction. Setting A major obstetric unit in the UK. Population A cohort of 105 nulliparae undergoing labour induction at term. Methods Twenty-three subjects needed to be randomised to each group to have an 80{\%} power of detecting a 50{\%} relative reduction in epidural rate with an alpha value of 0.05. Main outcome measures The primary end point was the rate of intrapartum epidural analgesia, and the secondary end points were parenteral analgesia requirement, labour length, delivery mode, neonatal condition and postpartum haemorrhage. Results There was no difference in epidural analgesia between acupuncture and sham acupuncture, relative risk 1.18 (95{\%} CI 0.8–1.74), or between acupuncture and control, relative risk 0.88 (95{\%} CI 0.66–1.19). There were no significant differences in the secondary end points between the acupuncture groups and the control group. Side effects or complications of acupuncture were not identified. Conclusions Using the protocols studied, there was no analgesic benefit with acupuncture for pain relief during induced labour in nulliparae.",
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