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Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial

OBJECTIVE: to evaluate the effectiveness of auriculotherapy on the anxiety of women during labor. METHOD: this is a randomized, parallel, triple-blind clinical trial. 102 parturients with gestational age ≥ 37 weeks, cervical dilatation ≥ 4 cm and two or more contractions in 10 min were selected and...

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Autores principales: Mafetoni, Reginaldo Roque, Rodrigues, Mariana Haddad, Jacob, Lia Maristela da Silva, Shimo, Antonieta Keiko Kakuda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136534/
https://www.ncbi.nlm.nih.gov/pubmed/30208157
http://dx.doi.org/10.1590/1518-8345.2471.3030
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author Mafetoni, Reginaldo Roque
Rodrigues, Mariana Haddad
Jacob, Lia Maristela da Silva
Shimo, Antonieta Keiko Kakuda
author_facet Mafetoni, Reginaldo Roque
Rodrigues, Mariana Haddad
Jacob, Lia Maristela da Silva
Shimo, Antonieta Keiko Kakuda
author_sort Mafetoni, Reginaldo Roque
collection PubMed
description OBJECTIVE: to evaluate the effectiveness of auriculotherapy on the anxiety of women during labor. METHOD: this is a randomized, parallel, triple-blind clinical trial. 102 parturients with gestational age ≥ 37 weeks, cervical dilatation ≥ 4 cm and two or more contractions in 10 min were selected and randomly assigned into three groups to receive auriculotherapy, placebo or control (routine care). Auriculotherapy was applied with crystal microspheres to the shenmen, uterus, neurasthenia area and endocrine points, and anxiety was assessed by the Hamilton Anxiety Rating Scale (HAM-A). Analyzes were performed using the Kruskal-Wallis, Generalized estimating equations, Chi-square and Fisher’s exact tests. RESULTS: the groups showed no significant difference at baseline according to the HAM-A. After the intervention there was a significant increase in HAM-A scores at 120 min in the placebo versus auriculotherapy group (mean difference (MD) 3.62, confidence interval (CI) 0.42-6.81, p=0.0265) and control versus auriculotherapy group (MD 4.88, CI 1.87-7.88, p=0.0015). CONCLUSION: the parturients with auriculotherapy presented lower levels of anxiety according to the HAM-A score after the treatment when compared to the women from the other groups; this can represent alternative care in obstetric practice. Registration: n. RBR-47hhbj.
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spelling pubmed-61365342018-09-14 Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial Mafetoni, Reginaldo Roque Rodrigues, Mariana Haddad Jacob, Lia Maristela da Silva Shimo, Antonieta Keiko Kakuda Rev Lat Am Enfermagem Original Articles OBJECTIVE: to evaluate the effectiveness of auriculotherapy on the anxiety of women during labor. METHOD: this is a randomized, parallel, triple-blind clinical trial. 102 parturients with gestational age ≥ 37 weeks, cervical dilatation ≥ 4 cm and two or more contractions in 10 min were selected and randomly assigned into three groups to receive auriculotherapy, placebo or control (routine care). Auriculotherapy was applied with crystal microspheres to the shenmen, uterus, neurasthenia area and endocrine points, and anxiety was assessed by the Hamilton Anxiety Rating Scale (HAM-A). Analyzes were performed using the Kruskal-Wallis, Generalized estimating equations, Chi-square and Fisher’s exact tests. RESULTS: the groups showed no significant difference at baseline according to the HAM-A. After the intervention there was a significant increase in HAM-A scores at 120 min in the placebo versus auriculotherapy group (mean difference (MD) 3.62, confidence interval (CI) 0.42-6.81, p=0.0265) and control versus auriculotherapy group (MD 4.88, CI 1.87-7.88, p=0.0015). CONCLUSION: the parturients with auriculotherapy presented lower levels of anxiety according to the HAM-A score after the treatment when compared to the women from the other groups; this can represent alternative care in obstetric practice. Registration: n. RBR-47hhbj. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2018-09-06 /pmc/articles/PMC6136534/ /pubmed/30208157 http://dx.doi.org/10.1590/1518-8345.2471.3030 Text en Copyright © 2018 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Articles
Mafetoni, Reginaldo Roque
Rodrigues, Mariana Haddad
Jacob, Lia Maristela da Silva
Shimo, Antonieta Keiko Kakuda
Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial
title Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial
title_full Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial
title_fullStr Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial
title_full_unstemmed Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial
title_short Effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial
title_sort effectiveness of auriculotherapy on anxiety during labor: a randomized clinical trial
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136534/
https://www.ncbi.nlm.nih.gov/pubmed/30208157
http://dx.doi.org/10.1590/1518-8345.2471.3030
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