Cargando…

A Systematic Review and Meta-Analysis of the Effect of Acupressure on Relieving the Labor Pain

BACKGROUND: Numerous studies have been conducted on the effect of acupressure on labor pain, some of which have reported conflicting results. Thus, the present study was performed to critically review the previous studies related to the effect of acupressure administered during labor for relieving l...

Descripción completa

Detalles Bibliográficos
Autores principales: Karimi, Leila, Mahdavian, Mitra, Makvandi, Somayeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968589/
https://www.ncbi.nlm.nih.gov/pubmed/33747833
http://dx.doi.org/10.4103/ijnmr.IJNMR_257_19
_version_ 1783666091687411712
author Karimi, Leila
Mahdavian, Mitra
Makvandi, Somayeh
author_facet Karimi, Leila
Mahdavian, Mitra
Makvandi, Somayeh
author_sort Karimi, Leila
collection PubMed
description BACKGROUND: Numerous studies have been conducted on the effect of acupressure on labor pain, some of which have reported conflicting results. Thus, the present study was performed to critically review the previous studies related to the effect of acupressure administered during labor for relieving labor pain. MATERIALS AND METHODS: In this study, databases of the Cochrane Central Register of the Controlled Trials, PubMed/MEDLINE, Scopus, and Web of Science were searched from their establishment until November 5, 2019. All the Randomized Controlled Trials (RCTs) that had compared the use of acupressure with either placebo or nonintervention for relieving the labor pain were included in the study. Meta-analysis was performed using the Comprehensive Meta-Analysis (CMA) software Version 2. The random-effects model was used for pooling the effect sizes across the included studies. The p value <0.05 was considered as statistically significant. RESULTS: Totally, 5853 primary papers were identified in the search, which were narrowed down to 22 studies. The results of meta-analysis showed that the acupressure decreased the labor pain in the intervention group vs. control (-1.67 [-2.29 to -1.05], z = -5.25, p < 0. 001) (Q-value = 788.98, p < 0.001, I-squared = 96.83). No publication bias was found in the included studies (Egger's regression intercept = -1.02, p = 0.76). CONCLUSIONS: Although the findings of this meta-analysis showed that the acupressure significantly reduced the labor pain during the active phase of labor compared to the nonintervention or placebo; considering that the quality of the included studies was generally moderate, rigorous RCTs with better design and higher quality are needed to obtain definitive conclusions.
format Online
Article
Text
id pubmed-7968589
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-79685892021-03-19 A Systematic Review and Meta-Analysis of the Effect of Acupressure on Relieving the Labor Pain Karimi, Leila Mahdavian, Mitra Makvandi, Somayeh Iran J Nurs Midwifery Res Review Article BACKGROUND: Numerous studies have been conducted on the effect of acupressure on labor pain, some of which have reported conflicting results. Thus, the present study was performed to critically review the previous studies related to the effect of acupressure administered during labor for relieving labor pain. MATERIALS AND METHODS: In this study, databases of the Cochrane Central Register of the Controlled Trials, PubMed/MEDLINE, Scopus, and Web of Science were searched from their establishment until November 5, 2019. All the Randomized Controlled Trials (RCTs) that had compared the use of acupressure with either placebo or nonintervention for relieving the labor pain were included in the study. Meta-analysis was performed using the Comprehensive Meta-Analysis (CMA) software Version 2. The random-effects model was used for pooling the effect sizes across the included studies. The p value <0.05 was considered as statistically significant. RESULTS: Totally, 5853 primary papers were identified in the search, which were narrowed down to 22 studies. The results of meta-analysis showed that the acupressure decreased the labor pain in the intervention group vs. control (-1.67 [-2.29 to -1.05], z = -5.25, p < 0. 001) (Q-value = 788.98, p < 0.001, I-squared = 96.83). No publication bias was found in the included studies (Egger's regression intercept = -1.02, p = 0.76). CONCLUSIONS: Although the findings of this meta-analysis showed that the acupressure significantly reduced the labor pain during the active phase of labor compared to the nonintervention or placebo; considering that the quality of the included studies was generally moderate, rigorous RCTs with better design and higher quality are needed to obtain definitive conclusions. Wolters Kluwer - Medknow 2020-11-07 /pmc/articles/PMC7968589/ /pubmed/33747833 http://dx.doi.org/10.4103/ijnmr.IJNMR_257_19 Text en Copyright: © 2020 Iranian Journal of Nursing and Midwifery Research http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Karimi, Leila
Mahdavian, Mitra
Makvandi, Somayeh
A Systematic Review and Meta-Analysis of the Effect of Acupressure on Relieving the Labor Pain
title A Systematic Review and Meta-Analysis of the Effect of Acupressure on Relieving the Labor Pain
title_full A Systematic Review and Meta-Analysis of the Effect of Acupressure on Relieving the Labor Pain
title_fullStr A Systematic Review and Meta-Analysis of the Effect of Acupressure on Relieving the Labor Pain
title_full_unstemmed A Systematic Review and Meta-Analysis of the Effect of Acupressure on Relieving the Labor Pain
title_short A Systematic Review and Meta-Analysis of the Effect of Acupressure on Relieving the Labor Pain
title_sort systematic review and meta-analysis of the effect of acupressure on relieving the labor pain
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968589/
https://www.ncbi.nlm.nih.gov/pubmed/33747833
http://dx.doi.org/10.4103/ijnmr.IJNMR_257_19
work_keys_str_mv AT karimileila asystematicreviewandmetaanalysisoftheeffectofacupressureonrelievingthelaborpain
AT mahdavianmitra asystematicreviewandmetaanalysisoftheeffectofacupressureonrelievingthelaborpain
AT makvandisomayeh asystematicreviewandmetaanalysisoftheeffectofacupressureonrelievingthelaborpain
AT karimileila systematicreviewandmetaanalysisoftheeffectofacupressureonrelievingthelaborpain
AT mahdavianmitra systematicreviewandmetaanalysisoftheeffectofacupressureonrelievingthelaborpain
AT makvandisomayeh systematicreviewandmetaanalysisoftheeffectofacupressureonrelievingthelaborpain