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Auricular Point Acupressure Therapy: A Safe and Effective Treatment for Postsurgical Abortion Recovery
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Acupuncture for induction of labour.

Caroline A Smith1, Caroline A Crowther, Suzanne J Grant

  • 1Center for Complementary Medicine Research, University of Western Sydney, Locked Bag 1797, Sydney, New South Wales, Australia, 2751.

The Cochrane Database of Systematic Reviews
|August 16, 2013
PubMed
Summary

Acupuncture appears safe for labor induction, with limited evidence of effectiveness. More high-quality trials are needed to confirm its role in cervical ripening and labor induction, focusing on clinically meaningful outcomes.

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Area of Science:

  • Obstetrics and Gynecology
  • Complementary and Alternative Medicine
  • Evidence-Based Practice

Background:

  • Increasing use of complementary therapies in pregnancy and childbirth.
  • Acupuncture, a traditional Chinese medicine technique, involves needle insertion at specific body points.
  • Limited observational data suggest acupuncture for labor induction is safe but lacks robust evidence of effectiveness.

Purpose of the Study:

  • To evaluate the effectiveness and safety of acupuncture for third-trimester cervical ripening and labor induction.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) identified through comprehensive database searches.
  • Included trials compared acupuncture with placebo/no treatment or other labor induction methods.
  • Data extraction and quality assessment were performed independently by two reviewers.

Main Results:

  • Fourteen trials involving 2220 women were included.
  • No significant differences were found in cesarean deliveries or neonatal seizures between acupuncture and control groups.
  • Some evidence suggested acupuncture may improve cervical maturation, but labor duration was shorter with usual care.

Conclusions:

  • The current evidence base for acupuncture in labor induction is limited.
  • Well-designed RCTs are necessary to establish the clinical effectiveness and role of acupuncture for labor induction.
  • Future research should prioritize clinically meaningful outcomes.