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Author (up) Mackenzie, I.; Xu, J.; Cusick, C.; Midwinter-Morten, H.; Meacher, H.; Mollison, J.; Brock, M. url  openurl
  Title Acupuncture for pain relief during induced labour in nulliparae: a randomised controlled study Type of Study RCT
  Year 2011 Publication BJOG : an international journal of obstetrics and gynaecology Abbreviated Journal BJOG  
  Volume 118 Issue 4 Pages 440-  
  Keywords AcuTrials; Labor, Obstetric; Analgesia; RCT; Acu Versus > 1 Control; Acupuncture; Electroacupuncture; TCM Acupuncture Style; Fixed Acupuncture Protocol; Restricted Modalities, Acupuncture Only; Sham Control; Penetrating Sham; Superficial Needling Depth; Sham Acupoint Control; CAM Control; Acu Versus Acu; No Treatment Control; Women's Health  
  Abstract Objective To assess the role of acupuncture for analgesia during labour. Design Double-blind study of manual, electro and sham acupuncture, and single-blind study comparing acupuncture with a control group for analgesia for labour induction. Setting A major obstetric unit in the UK. Population A cohort of 105 nulliparae undergoing labour induction at term. Methods Twenty-three subjects needed to be randomised to each group to have an 80% power of detecting a 50% relative reduction in epidural rate with an alpha value of 0.05. Main outcome measures The primary end point was the rate of intrapartum epidural analgesia, and the secondary end points were parenteral analgesia requirement, labour length, delivery mode, neonatal condition and postpartum haemorrhage. Results There was no difference in epidural analgesia between acupuncture and sham acupuncture, relative risk 1.18 (95% CI 0.8-1.74), or between acupuncture and control, relative risk 0.88 (95% CI 0.66-1.19). There were no significant differences in the secondary end points between the acupuncture groups and the control group. Side effects or complications of acupuncture were not identified. Conclusions Using the protocols studied, there was no analgesic benefit with acupuncture for pain relief during induced labour in nulliparae. Please cite this paper as: MacKenzie I, Xu J, Cusick C, Midwinter-Morten H, Meacher H, Mollison J, Brock M. Acupuncture for pain relief during induced labour in nulliparae: a randomised controlled study. BJOG 2011;118:440-447.  
  Address Nuffield Department of Obstetrics and Gynaecology, University of Oxford, Oxford, UK Maternity Department, John Radcliffe Hospital, Oxford, UK Department of Obstetrics and Gynaecology, University of Aberdeen, Aberdeen, UK.  
  Language Number of Treatments 1  
  Treatment Follow-up N/A Frequency N/A Number of Participants 105  
  Time in Treatment 1 Day Condition Analgesia
  Disease Category Labor, Obstetric OCSI Score  
  Notes Approved no  
  Call Number Serial 798  
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