AcuTrials

Evaluation of outpatient acupuncture for relief of pregnancy-related conditions

Item

Title

Evaluation of outpatient acupuncture for relief of pregnancy-related conditions

Author(s)

Journal Publication

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics

Date

2018

Research Type

Systematic Review

Abstract

BACKGROUND: Acupuncture is a non-pharmacological option to relieve pregnancy-related complaints. OBJECTIVES: To critically appraise the best available evidence for the use of acupuncture in outpatient care. SEARCH STRATEGY: The MEDLINE, Cochrane Library, and Centre for Reviews and Dissemination databases were searched for English-language and German-language papers published from January 1980 to March 2017 using search terms related to pregnancy combined with 'acupuncture'. SELECTION CRITERIA: Systematic reviews and randomized controlled trials (RCTs) comparing non-pharmacological treatments in unselected or low-risk pregnant women. DATA COLLECTION AND ANALYSIS: Quality was assessed using a checklist (A Measurement Tool to Assess Systematic Reviews) and the Cochrane risk of bias tool. Meta-analyses were also performed. MAIN RESULTS: High-quality systematic reviews (n=5) and RCTs with low risk of bias (n=3) were identified. The systematic reviews were based on single studies, with small sample sizes, that showed a benefit of acupuncture for evening pelvic pain; pelvic and low-back pain; nausea; functional disability; and sleep quality. Contradictory results were found in the RCTs regarding cesarean delivery; time to delivery; spontaneous labor; fetal distress; and Apgar score. Data pooling emphasized the heterogeneity of results. CONCLUSIONS: Evidence to support the use of acupuncture for relief of pregnancy-related conditions was limited.

doi

10.1002/ijgo.12446

pmid

PMID:29355951

Language

English

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