Acupuncture treatment during labour--a randomised controlled trial.
OBJECTIVE
To investigate acupuncture treatment during labour with regard to pain intensity, degree of relaxation and outcome of the delivery.


METHODS
Randomised controlled trial.


METHODS
Delivery ward at a tertiary care centre hospital in Sweden.


METHODS
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.


METHODS
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.


CONCLUSIONS
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 or relaxing.
Ramnerö
Agneta
A
Department of Obstetrics and Gynaecology, Orebro University Hospital, Sweden.
Hanson
Ulf
U
Kihlgren
Mona
M
D015667:Acupuncture Analgesia / Q000379:methods*; D000328:Adult; D015360:Analgesia, Epidural / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000628:therapy*; D010146:Pain / Q000517:prevention & control*; D010147:Pain Measurement; D017060:Patient Satisfaction; D011247:Pregnancy; D011256:Pregnancy Outcome; D012063:Relaxation; D012307:Risk Factors