title: Effects of LI4 and BL 67 acupressure on labor pain and uterine contractions in the first stage of labor.
abstract: Acupressure is said to promote the circulation of blood and qi, the harmony of yin and yang, and the secretion of neurotransmitters, thus maintaining the normal functions of the human body and providing comfort. However, there has been little research-based evidence to support the positive effects of acupressure in the area of obstetric nursing. The purpose of this study is to determine the effect of LI4 and BL67 acupressure on labor pain and uterine contractions during the first stage of labor. An experimental study with a pretest and posttest control group design was utilized. A total of 127 parturient women were randomly assigned to three groups. Each group received only one of the following treatments, LI4 and BL67 acupressure, light skin stroking, or no treatment/conversation only. Data collected from the VAS and external fetal monitoring strips were used for analysis. Findings indicated that there was a significant difference in decreased labor pain during the active phase of the first stage of labor among the three groups. There was no significant difference in effectiveness of uterine contractions during the first stage of labor among the three groups. Results of the study confirmed the effect of LI4 and BL67 acupressure in lessening labor pain during the active phase of the first stage of labor. There were no verified effects on uterine contractions.
authors.affiliation: National Taipei College of Nursing, No. 365 Ming-Te Road, Peitou, Taipei 112, Taiwan, ROC.
authors.forename: Ue-Lin
authors.initials: UL
authors.lastname: Chung
authors.forename: Li-Chiao
authors.initials: LC
authors.lastname: Hung
authors.forename: Su-Chen
authors.initials: SC
authors.lastname: Kuo
authors.forename: Chun-Liang
authors.initials: CL
authors.lastname: Huang
mesh_terms: D019050:Acupressure / Q000379:methods* / Q000451:nursing; D000293:Adolescent; D000328:Adult; D016362:Analgesia, Obstetrical / Q000379:methods; D001294:Attitude to Health; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D007231:Infant, Newborn; D007747:Labor Stage, First; D008405:Massage / Q000379:methods; D009721:Nurse Midwives / Q000193:education; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D007744:Obstetric Labor Complications / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D009773:Obstetric Nursing / Q000193:education / Q000379:methods; D010146:Pain / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D010147:Pain Measurement; D011247:Pregnancy; D036301:Qualitative Research; D016896:Treatment Outcome; D014590:Uterine Contraction / Q000502:physiology*