Archives of Gynecology and Obstetrics

, Volume 287, Issue 5, pp 887–891

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

Maternal-Fetal Medicine

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.

Keywords

Acupuncture Randomized controlled trial Post-term pregnancy Sham acupuncture 

Abbreviation

RCT

Randomized controlled trail

BMI

Body mass index

LI4

Large intestine 4

SP6

Spleen 6

BL67

Bladder 67

GA

Gestational age

NVD

Normal vaginal delivery

ACOG

American College of Obstetricians and Gynecologists

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynecology, Tajrish HospitalShahid Beheshti University of Medical SciencesTehranIran
  2. 2.Department of Physical Medicine and Rehabilitation, Tajrish HospitalShahid Beheshti University of Medical SciencesTehranIran

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