Acupuncture During Labor Can Reduce the Use of Meperidine: A Controlled Clinical Study

OBJECTIVETo evaluate the effectiveness of acupuncture as an analgesic during labor. DESIGNA randomized, unblinded, controlled study. SETTINGA labor ward in a University Hospital. PATIENTSParturients at term. INTERVENTIONSOne group received acupuncture (N = 106); another did not (N = 92). A second co...

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Veröffentlicht in:The Clinical journal of pain 2003-05, Vol.19 (3), p.187-191
Hauptverfasser: Nesheim, Britt-Ingjerd, Kinge, Ragnhild, Berg, Bertha, Alfredsson, Birgitta, Allgot, Eibjørg, Hove, Gry, Johnsen, Wenche, Jorsett, Ingunn, Skei, Sigrun, Solberg, Stani
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container_end_page 191
container_issue 3
container_start_page 187
container_title The Clinical journal of pain
container_volume 19
creator Nesheim, Britt-Ingjerd
Kinge, Ragnhild
Berg, Bertha
Alfredsson, Birgitta
Allgot, Eibjørg
Hove, Gry
Johnsen, Wenche
Jorsett, Ingunn
Skei, Sigrun
Solberg, Stani
description OBJECTIVETo evaluate the effectiveness of acupuncture as an analgesic during labor. DESIGNA randomized, unblinded, controlled study. SETTINGA labor ward in a University Hospital. PATIENTSParturients at term. INTERVENTIONSOne group received acupuncture (N = 106); another did not (N = 92). A second control group (N = 92), drawn from the labor ward protocol, consisted of patients who met the eligibility criteria for the study and were matched to the “no acupuncture” group by parity, but who had not been offered the opportunity to take part. Outcome measure “effectiveness of acupuncture” was measured by the requirement for use of meperidine. RESULTSMeperidine was given to 11% of the acupuncture group, 37% of the no acupuncture group (P < 0.0001), and 29% of the control group. The use of other analgesics was also lower in the acupuncture group. Patient satisfaction was high89 of 103 patients asked said they would want acupuncture during another labor. CONCLUSIONSAcupuncture during labor reduced the requirement for other painkillers and has high patient satisfaction in this randomized, unblinded, controlled study.
doi_str_mv 10.1097/00002508-200305000-00006
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DESIGNA randomized, unblinded, controlled study. SETTINGA labor ward in a University Hospital. PATIENTSParturients at term. INTERVENTIONSOne group received acupuncture (N = 106); another did not (N = 92). A second control group (N = 92), drawn from the labor ward protocol, consisted of patients who met the eligibility criteria for the study and were matched to the “no acupuncture” group by parity, but who had not been offered the opportunity to take part. Outcome measure “effectiveness of acupuncture” was measured by the requirement for use of meperidine. RESULTSMeperidine was given to 11% of the acupuncture group, 37% of the no acupuncture group (P &lt; 0.0001), and 29% of the control group. The use of other analgesics was also lower in the acupuncture group. Patient satisfaction was high89 of 103 patients asked said they would want acupuncture during another labor. CONCLUSIONSAcupuncture during labor reduced the requirement for other painkillers and has high patient satisfaction in this randomized, unblinded, controlled study.</description><identifier>ISSN: 0749-8047</identifier><identifier>EISSN: 1536-5409</identifier><identifier>DOI: 10.1097/00002508-200305000-00006</identifier><identifier>PMID: 12792557</identifier><identifier>CODEN: CJPAEU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Acupuncture Analgesia - methods ; Adolescent ; Adult ; Analgesia, Obstetrical - methods ; Analgesics ; Biological and medical sciences ; Chemotherapy, Adjuvant ; Combined Modality Therapy - methods ; Female ; Humans ; Labor, Obstetric ; Medical sciences ; Meperidine - administration &amp; dosage ; Neuropharmacology ; Obstetric Labor Complications - drug therapy ; Obstetric Labor Complications - therapy ; Pain - drug therapy ; Pain Management ; Pharmacology. 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DESIGNA randomized, unblinded, controlled study. SETTINGA labor ward in a University Hospital. PATIENTSParturients at term. INTERVENTIONSOne group received acupuncture (N = 106); another did not (N = 92). A second control group (N = 92), drawn from the labor ward protocol, consisted of patients who met the eligibility criteria for the study and were matched to the “no acupuncture” group by parity, but who had not been offered the opportunity to take part. Outcome measure “effectiveness of acupuncture” was measured by the requirement for use of meperidine. RESULTSMeperidine was given to 11% of the acupuncture group, 37% of the no acupuncture group (P &lt; 0.0001), and 29% of the control group. The use of other analgesics was also lower in the acupuncture group. Patient satisfaction was high89 of 103 patients asked said they would want acupuncture during another labor. CONCLUSIONSAcupuncture during labor reduced the requirement for other painkillers and has high patient satisfaction in this randomized, unblinded, controlled study.</description><subject>Acupuncture Analgesia - methods</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Analgesia, Obstetrical - methods</subject><subject>Analgesics</subject><subject>Biological and medical sciences</subject><subject>Chemotherapy, Adjuvant</subject><subject>Combined Modality Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Labor, Obstetric</subject><subject>Medical sciences</subject><subject>Meperidine - administration &amp; dosage</subject><subject>Neuropharmacology</subject><subject>Obstetric Labor Complications - drug therapy</subject><subject>Obstetric Labor Complications - therapy</subject><subject>Pain - drug therapy</subject><subject>Pain Management</subject><subject>Pharmacology. 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Drug treatments</topic><topic>Pregnancy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nesheim, Britt-Ingjerd</creatorcontrib><creatorcontrib>Kinge, Ragnhild</creatorcontrib><creatorcontrib>Berg, Bertha</creatorcontrib><creatorcontrib>Alfredsson, Birgitta</creatorcontrib><creatorcontrib>Allgot, Eibjørg</creatorcontrib><creatorcontrib>Hove, Gry</creatorcontrib><creatorcontrib>Johnsen, Wenche</creatorcontrib><creatorcontrib>Jorsett, Ingunn</creatorcontrib><creatorcontrib>Skei, Sigrun</creatorcontrib><creatorcontrib>Solberg, Stani</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Clinical journal of pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nesheim, Britt-Ingjerd</au><au>Kinge, Ragnhild</au><au>Berg, Bertha</au><au>Alfredsson, Birgitta</au><au>Allgot, Eibjørg</au><au>Hove, Gry</au><au>Johnsen, Wenche</au><au>Jorsett, Ingunn</au><au>Skei, Sigrun</au><au>Solberg, Stani</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acupuncture During Labor Can Reduce the Use of Meperidine: A Controlled Clinical Study</atitle><jtitle>The Clinical journal of pain</jtitle><addtitle>Clin J Pain</addtitle><date>2003-05</date><risdate>2003</risdate><volume>19</volume><issue>3</issue><spage>187</spage><epage>191</epage><pages>187-191</pages><issn>0749-8047</issn><eissn>1536-5409</eissn><coden>CJPAEU</coden><abstract>OBJECTIVETo evaluate the effectiveness of acupuncture as an analgesic during labor. DESIGNA randomized, unblinded, controlled study. SETTINGA labor ward in a University Hospital. PATIENTSParturients at term. INTERVENTIONSOne group received acupuncture (N = 106); another did not (N = 92). A second control group (N = 92), drawn from the labor ward protocol, consisted of patients who met the eligibility criteria for the study and were matched to the “no acupuncture” group by parity, but who had not been offered the opportunity to take part. Outcome measure “effectiveness of acupuncture” was measured by the requirement for use of meperidine. RESULTSMeperidine was given to 11% of the acupuncture group, 37% of the no acupuncture group (P &lt; 0.0001), and 29% of the control group. The use of other analgesics was also lower in the acupuncture group. Patient satisfaction was high89 of 103 patients asked said they would want acupuncture during another labor. 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ispartof The Clinical journal of pain, 2003-05, Vol.19 (3), p.187-191
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subjects Acupuncture Analgesia - methods
Adolescent
Adult
Analgesia, Obstetrical - methods
Analgesics
Biological and medical sciences
Chemotherapy, Adjuvant
Combined Modality Therapy - methods
Female
Humans
Labor, Obstetric
Medical sciences
Meperidine - administration & dosage
Neuropharmacology
Obstetric Labor Complications - drug therapy
Obstetric Labor Complications - therapy
Pain - drug therapy
Pain Management
Pharmacology. Drug treatments
Pregnancy
Treatment Outcome
title Acupuncture During Labor Can Reduce the Use of Meperidine: A Controlled Clinical Study
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