Efficacité et sécurité des méthodes alternatives à l’analgésie péridurale pendant le travail

Efficacy and safety of alternative therapies to epidural for pain management during labour

Résumé

Objectif

Étudier l’efficacité et la sécurité de certaines méthodes alternatives à l’analgésie péridurale pour la gestion de la douleur pendant le travail.

Matériel et méthodes

Revue de la littérature à partir des bases de données Pubmed, Cochrane Library et Google Scholar interrogées jusqu’en mai 2012 sur les méthodes suivantes: acupuncture, acupression, ostéopathie, transcutaneous electrical nerve stimulation (TENS), méthodes de relaxation, phytothérapie et aromathérapie. Chacun de ces mots clés était associé au terme en anglais: « efficacité », « sécurité » ou « effets indésirables ».

Résultats

Cent vingt et un résumés ont été identifiés et 57 études ont été incluses dont sept relatives à la sécurité des méthodes étudiées. L’efficacité n’était pas encore prouvée pour l’aromathérapie, la phytothérapie, l’haptonomie et le TENS.

Conclusion

D’autres études semblent nécessaires pour évaluer notamment leur sécurité d’application.

Abstract

Objective

To assess the efficacy and safety of alternative therapies to epidural for pain management during labour.

Materials and methods

A review was carried out by searching Pubmed, Cochrane Library databases and Google Scholar until May 2012. Search terms included acupuncture, acupressure, osteopathy, transcutaneous electrical nerve stimulation (TENS), relaxation, phytotherapy and aromatherapy. Each of these terms was associated with the keywords “efficacy”, “safety” or “adverse event”.

Results

One hundred and twenty-one abstracts were identified and 57 studies were included. Among these studies, seven were related to alternative therapy safety. The efficacy was not proven for aromatherapy, phytotherapy, haptonomy and TENS.

Conclusion

Further studies should be realized to particularly evaluate the safety of alternative therapies.

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Correspondence to A. A. Chantry.

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Chantry, A.A., Boillot, E. & Dupont, C. Efficacité et sécurité des méthodes alternatives à l’analgésie péridurale pendant le travail. Rev. med. perinat. 4, 206–213 (2012). https://doi.org/10.1007/s12611-012-0201-9

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Mots clés

  • Péridurale
  • Douleur
  • Méthodes alternatives
  • Efficacité
  • Sécurité

Keywords

  • Labour pain
  • Alternative therapies
  • Efficacy
  • Adverse event
  • Safety