Evaluation of outpatient acupuncture for relief of pregnancy-related conditions
| Autor: | Laura Krabbe, Barbara Buchberger |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Acupuncture Therapy Medizin MEDLINE Cochrane Library Pelvic Pain law.invention 03 medical and health sciences 0302 clinical medicine Centre for Reviews and Dissemination Randomized controlled trial Pregnancy law Outpatients Acupuncture Humans Medicine 030212 general & internal medicine Randomized Controlled Trials as Topic Cesarean Section business.industry Pelvic pain Obstetrics and Gynecology General Medicine Wirtschaftswissenschaften Pregnancy Complications Systematic review Meta-analysis Physical therapy Female medicine.symptom business Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | International Journal of Gynecology & Obstetrics. 141:151-158 |
| ISSN: | 0020-7292 |
| DOI: | 10.1002/ijgo.12446 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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