Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Die Highlights vom Kongress des American College of Cardiology 2024

Im April diskutierten die Herz-Kreislauf-Spezialisten aus der ganzen Welt auf dem  Kongress des American College of Cardiology (ACC) u.a. neue Therapieansätze bei akutem Myokardinfarkt, koronarer Herzerkrankung, kardiogenem Schock oder Aortenklappenstenose. In unserem Kongress-Dossier haben wir für Sie Berichte über die „Late-Breaking Trials“ und andere wichtige Studien zusammengestellt. 
Erweiterte Suche
Anmelden
nach oben
Archives of Gynecology and Obstetrics
Erschienen in: Archives of Gynecology and Obstetrics 5/2013

01.05.2013 | Maternal-Fetal Medicine

Effects of acupuncture for initiation of labor: a double-blind randomized sham-controlled trial

verfasst von: Ladan Ajori, Leila Nazari, Dariush Eliaspour

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

This double-blind randomized controlled trial was conducted to evaluate whether use of acupuncture could initiate labor at term and thus reduce post-term induction.

Methods

Between 2010 and 2011, a total of 80 women at 38 weeks of gestation or greater were randomized to acupuncture and sham acupuncture groups. Acupuncture points LI4, SP6 and BL67 were needled bilaterally. The primary outcome was initiation of labor. The time from acupuncture to delivery, mode of delivery, fetal and maternal outcome and Apgar scores were recorded. The trial is registered at irct.ir, number IRCT201111218151N1.

Results

Eighty women were randomized and 75 women completed the study procedure. Age, BMI, parity and gestational age were similar in both groups. Spontaneous labor was initiated in 94.7 % of acupuncture group and 89.2 % of sham acupuncture group (p = 0.430). There were no statistically significant difference between groups for time from enrollment to delivery (p = 0.06).

Conclusion

According to this study, it seems that acupuncture was not effective in labor initiation compared to sham acupuncture.
Literatur
1.
Dencker A, Berg M, Berggvist L, Ladfors L, Thorsen LS, Lilja H (2009) Early versus delayed oxytocin augmentation in nulliparous women with prolonged labour—a randomized controlled trial. BJOG 116(4):530–536PubMedCrossRef
2.
Mozurkewich EL, Chilimigars JL, Berman DR, Perni UC, Romero VC, King VJ, Keeton KL (2011) Methods of induction of labour: a systematic review. BMC Pregnancy Childbirth 11:84PubMedCrossRef
3.
Asher GN, Coeytoux RR, Chen W, Reilly AC, Loh YL, Harper TC (2009) Acupuncture to initiate labor: a randomized, sham controlled clinical trial. J Matem Fetal Neonatal Med 22(10):843–848CrossRef
4.
Caughey AB, Sundaram V, Kaimal AJ, Gienger A, Cheng YW, McDoland KM, Shaffer BL, Owens DK, Bravata DM (2009) Systematic review: elective induction of labor versus expectant management of pregnancy. Ann Intern Med 151:252–263PubMed
5.
Alexander JM, McIntire DD, Leveno KJ (2001) Prolonged pregnancy: induction of labor and cesarean birth. Obstet Gynecol 97(6):911–915PubMedCrossRef
6.
Arrowsmith S, Quenby S, Weeks A, Burdyga T, Wray S (2012) Poor spontaneous and oxytocin-stimulated contractility in human myometrium from postdates pregnancies. PLoS One 7(5):e36787PubMedCrossRef
7.
Wennerholm UB, Hagberg H, Brorsson B, Bergh C (2009) Induction of labor versus expectant management for post-date pregnancy: is there sufficient evidence for a change in clinical practice? Acta Obstet Gynecol Scand 88(1):6–17PubMedCrossRef
8.
Smith CA, Crowther CA (2004) Acupuncture for induction of labour. Cochrance Database Sys Rev (1):CD002962
9.
Selmer-Olsen T, Lydersen S, Morkved S (2007) Does acupuncture used in nulliparous women reduce time from prelabour rupture of membranes at term to active phase of labour? A randomised controlled trial. Acta Obstet Gynecol Scand 86:1447–1452PubMedCrossRef
10.
Gaudet LM, Dyzak R, Aung SK, Smith GN (2008) Effectiveness of acupuncture for the initiation of labour at term: a pilot randomized controlled trial. J Obstet Gynaecol Can 30(12):1118–1123PubMed
11.
MacPherson H, Thomas K, Walters S, Fitter M (2001) The York Acupuncture Safety Study: prospective survey of 34 000 treatments by traditional acupuncturists. BMJ 323:486–487PubMedCrossRef
12.
Lao L, Hamilton GR, Fu J, Berman BM (2003) Is acupuncture safe? A systematic review of case reports. Altern Ther Health Med 9:72–83PubMed
13.
Smith CA, Cochrance S (2009) Dose acupuncture have a place as an adjunct treatment during pregnancy? A review of randomized controlled trials and systematic reviews. Birth 36(3):246–253PubMedCrossRef
14.
Tiran D (2004) Breech presentation: increasing maternal choice. Complement Ther Nurs Midwifery 10(4):233–238PubMedCrossRef
15.
Qu F, Zhou J (2007) Electro-acupuncture in relieving labor pain. Evid Based Complement Alternat Med 4(1):125–130PubMedCrossRef
16.
Helmreich RJ, Shiao SY, Dune LS (2006) Meta-analysis of acustimulation effects on nausea and vomiting in pregnant women. Explore (NY) 2(5):412–421CrossRef
17.
Gaudernack LC, Forbod S, Hole E (2006) Acupuncture administered after spontaneous rupture of membranes at term significantly reduces the length of birth & use of oxytocin. A randomized controlled trial. Acta Obstetrica et Gynecologia Scandinavica 85(11):1348–1353CrossRef
18.
Smith CA, Crowther CA, Collins CT, Coyle ME (2008) Acupuncture to induce labor: a randomized controlled trial. Obstet Gynecol 112(5):1067–1074PubMedCrossRef
19.
Citkovitz C, Klimenko E, Bolyai M, Applewhite L, Julliard K, Weiner Z (2009) Effects of acupuncture during labor and delivery in a U.S hospital setting: a case-control pilot study. J Altern Complement Med 15(5):501–505PubMedCrossRef
20.
Evans M (2009) Postdates pregnancy and complementary therapies. Complement Ther Clin Pract 15(4):220–224PubMedCrossRef
21.
Harper TC, Coeytoux RR, Chen W, Campbell K, Kaufman JS, Moise KJ, Thorp JM (2006) A randomized controlled trail of acupuncture for initiation of labor in nulliparous women. J Matern Fetal Neonatal Med 19(8):465–470PubMedCrossRef
22.
Tempfeer C, Zeisler H, Heinzl H, Hefler L, Husslein P, Kainz C (1998) Influence of acupuncture on maternal serum levels of interleukin-8, prostaglandin F2 alpha, and beta-endorphin: a matched pair study. Obstet Gynecol 92(2):245–248CrossRef
23.
Norwitz ER, Snegovskikh VV, Caughey AB (2007) Prolonged pregnancy: when should we intervene? Clin Obstet Gynecol 50(2):547–557PubMedCrossRef
24.
Olesen AW, Basso O, Olsen J (2003) Risk of recurrence of prolonged pregnancy. BMJ 326(7387):476PubMedCrossRef
25.
Kistka ZA, Palomar L, Boslaugh SE, DeBaum MR, DeFranco EA, Muglia LJ (2007) Risk for postterm delivery after previous postterm delivery. Am J Obstet Gynecol 196(3):241.e1–241.e6CrossRef
26.
Rabl M, Ahner R, Bitschanau M, Zeisler H, Husslein P (2001) Acupuncture for cervical ripening & induction of labor at term—a randomized controlled trial. Wein Klin Wochenschr 113(23–24):942–946
Metadaten
Titel
Effects of acupuncture for initiation of labor: a double-blind randomized sham-controlled trial
verfasst von
Ladan Ajori
Leila Nazari
Dariush Eliaspour
Publikationsdatum
01.05.2013
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 5/2013
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-012-2674-y

Weitere Artikel der Ausgabe 5/2013

Archives of Gynecology and Obstetrics 5/2013 Zur Ausgabe

Maternal-Fetal Medicine

The association of a cervical length of <25 mm in high-risk pregnancies on neonatal morbidity and mortality in preterm infants

Maternal-Fetal Medicine

Is serum placental growth factor more effective as a biomarker in predicting early onset preeclampsia in early second trimester than in first trimester of pregnancy?

Letter to the Editor

Giant condyloma acuminatum of vulva treated by surgical excision and reconstruction of defect

Maternal-Fetal Medicine

Prevalence and associated risk factors for gestational diabetes in Jos, North-central, Nigeria

Reproductive Medicine

Prostaglandin E2 alteration in contraceptive consumers: as a risk factor for inflammatory diseases

Letter to the Editor

An achieved live birth following five-time serial stillbirth by serious Rh alloimmunization

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Blutdrucksenkung könnte Uterusmyome verhindern

21.05.2024 Krebsvorsorge in der Gynäkologie Nachrichten

Frauen mit unbehandelter oder neu auftretender Hypertonie haben ein deutlich erhöhtes Risiko für Uterusmyome. Eine Therapie mit Antihypertensiva geht hingegen mit einer verringerten Inzidenz der gutartigen Tumoren einher.

Antikörper-Wirkstoff-Konjugat hält solide Tumoren in Schach

16.05.2024 Zielgerichtete Therapie Nachrichten

Trastuzumab deruxtecan scheint auch jenseits von Lungenkrebs gut gegen solide Tumoren mit HER2-Mutationen zu wirken. Dafür sprechen die Daten einer offenen Pan-Tumor-Studie.

Mammakarzinom: Senken Statine das krebsbedingte Sterberisiko?

15.05.2024 Mammakarzinom Nachrichten

Frauen mit lokalem oder metastasiertem Brustkrebs, die Statine einnehmen, haben eine niedrigere krebsspezifische Mortalität als Patientinnen, die dies nicht tun, legen neue Daten aus den USA nahe.

S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen
Bildnachweise