• Agneta Ramnerö, Ulf Hanson, and Mona Kihlgren.
• Department of Obstetrics and Gynaecology, Orebro University Hospital, Sweden.
• BJOG. 2002 Jun 1; 109 (6): 637-44.

ObjectiveTo investigate acupuncture treatment during labour with regard to pain intensity, degree of relaxation and outcome of the delivery.DesignRandomised controlled trial.SettingDelivery ward at a tertiary care centre hospital in Sweden.PopulationNinety parturients who delivered during the period April 12, 1999 and June 4, 2000.MethodsForty-six parturients were randomised to receive acupuncture treatment during labour as a compliment, or an alternative, to conventional analgesia.Main Outcome MeasuresAssessments of pain intensity and degree of relaxation during labour, together with evaluation of delivery outcome.ResultsAcupuncture treatment during labour significantly reduced the need of epidural analgesia (12% vs 22%, relative risk [RR] 0.52, 95% confidence interval [CI] 0.30 to 0.92). Parturients who received acupuncture assessed a significantly better degree of relaxation compared with the control group (mean difference -0.93, 95% CI -1.66 to -0.20). No negative effects of acupuncture given during labour were found in relation to delivery outcome.ConclusionsThe results suggest that acupuncture could be a good alternative or complement to those parturients who seek an alternative to pharmacological analgesia in childbirth. Further trials with a larger number of patients are required to clarify if the main effect of acupuncture during labour is analgesic or relaxing.

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