|
Akupunktur hilft den Geburtsvorgang zu
beschleunigen.
Die Notwendigkeit die Wehen einzuleiten war
in dieser norwegischen Studie unter Akupunktur geringer ausgeprägt. Auch die
Dauer der Wehen reduzierte sich unter der
Nadelung
- im Durchschnitt um 1.7 Stunden. Die Menge des
im Zuge der Geburtseinleitung verabreichten
Medikaments (Oxitocin) war deutlich vermindert.
Die Autoren dieser Untersuchung kamen zu dem Schluss,
dass Akupunktur eine ernstzunehmende
Alternative, bzw. Ergänzung zu den heute bei
Geburten üblichen Standard-Vorgehensweisen ist.
Acta Obstet Gynecol Scand. 2006;85(11):1348-53.
Acupuncture administered after spontaneous
rupture of membranes at term significantly
reduces the length of birth and use of oxytocin.
A randomized controlled trial.
Gaudernack LC, Forbord S, Hole E.
Kvinneklinikken, Rikshospitalet University
Hospital, Oslo, Norway. lisegaudernack@yahoo.com
BACKGROUND: The objective was to
investigate whether acupuncture could be a
reasonable option for augmentation in labor
after spontaneous rupture of membranes at term
and to look for possible effects on the progress
of labor.
METHODS: In a randomized controlled trial
100 healthy partients, with spontaneous rupture
of membranes at term, were assigned to receive
either acupuncture or no acupuncture. The main
response variables were the duration of active
labor, the amount of oxytocin given, and number
of inductions.
RESULTS: Duration of labor was
significantly reduced (mean difference 1.7 h,
p=0.03) and there was significant reduction in
the need for oxytocin infusion to augment labor
in the study group compared to the control group
(odds ratio 2.0, p=0.018). We also
discovered that the participants in the
acupuncture group who needed labor induction had
a significantly shorter duration of active phase
than the ones induced in the control group (mean
difference 3.6 h, p=0.002). These
findings remained significant also when multiple
regression was performed, controlling for
potentially confounding factors like parity,
epidural analgesia, and birth weight.
CONCLUSION: Acupuncture may be a good
alternative or complement to pharmacological
methods in the effort to facilitate birth and
provide normal delivery for women with prelabor
rupture of membranes.
Publication Types:
* Randomized Controlled Trial
|
