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Effects of electroacupuncture on reducing labor pain and complications in the labor analgesia process of combined spinal-epidural analgesia with patient-controlled epidural analgesia.
Arch Gynecol Obstet. 2019 01; 299(1):123-128.AG

Abstract

PURPOSE

To compare the pain scores and rates of complications in the labor analgesia process between the two groups.

METHODS

There were 127 participants being recruited in this research, and randomly divided into 2 groups according to the anesthetic technique: CSEA with PCEA with EA group (group 1), CSEA with PCEA group (group 2). Group 1 was first operated CSEA and PCEA, then EA at Hegu (LI4), Neiguan (PC6), Zusanli (ST36) and Sanyinjiao (SP6) by HANS-200A device for 25 min. Group 2 was only treated by CSEA and PCEA. The main outcome was the VAS for labor pain. Meanwhile the complications, use of oxytocin, durations of three stages, delivery mode, cord blood pH and neonatus Apgar score in this study were considered as secondary outcomes.

RESULTS

After labor analgesia, the VAS scores of group 1 at the five point-in-times were all lower than that of group 2. The rates of fever and urinary retention of group 1 were lower compared with group 2. Group 1 had less usage of oxytocin and shorter durations of cervical dilation from 3 to 10 cm and third stage than group 2.

CONCLUSIONS

EA can help to reduce labor pain in CSEA with PCEA labor analgesia process, and may be able to reduce the complications.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Xiao J
Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, No. 232, Waihuan East Road, Higher Education Mega Center, Panyu District, Guangzhou, Guangdong, China. 1440379225@qq.com.
Yi W
Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, No. 232, Waihuan East Road, Higher Education Mega Center, Panyu District, Guangzhou, Guangdong, China.
Wu L
Department of Obstetrics and Gynecology, the Third Affiliated Hospital of Sun Yat-Sen University, No. 600, Tianhe Road, Tianhe District, Guangzhou, Guangdong, China.

MeSH

AdultAnalgesia, EpiduralAnalgesia, ObstetricalAnalgesia, Patient-ControlledAnalgesicsAnesthesia, EpiduralAnestheticsApgar ScoreElectroacupunctureFemaleHumansLabor PainLabor, ObstetricOxytocinPain MeasurementPregnancyTreatment OutcomeVisual Analog Scale

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30426192

Citation

Xiao, Jinfeng, et al. "Effects of Electroacupuncture On Reducing Labor Pain and Complications in the Labor Analgesia Process of Combined Spinal-epidural Analgesia With Patient-controlled Epidural Analgesia." Archives of Gynecology and Obstetrics, vol. 299, no. 1, 2019, pp. 123-128.
Xiao J, Yi W, Wu L. Effects of electroacupuncture on reducing labor pain and complications in the labor analgesia process of combined spinal-epidural analgesia with patient-controlled epidural analgesia. Arch Gynecol Obstet. 2019;299(1):123-128.
Xiao, J., Yi, W., & Wu, L. (2019). Effects of electroacupuncture on reducing labor pain and complications in the labor analgesia process of combined spinal-epidural analgesia with patient-controlled epidural analgesia. Archives of Gynecology and Obstetrics, 299(1), 123-128. https://doi.org/10.1007/s00404-018-4955-6
Xiao J, Yi W, Wu L. Effects of Electroacupuncture On Reducing Labor Pain and Complications in the Labor Analgesia Process of Combined Spinal-epidural Analgesia With Patient-controlled Epidural Analgesia. Arch Gynecol Obstet. 2019;299(1):123-128. PubMed PMID: 30426192.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of electroacupuncture on reducing labor pain and complications in the labor analgesia process of combined spinal-epidural analgesia with patient-controlled epidural analgesia. AU - Xiao,Jinfeng, AU - Yi,Wei, AU - Wu,Lingling, Y1 - 2018/11/13/ PY - 2018/05/25/received PY - 2018/10/25/accepted PY - 2018/11/15/pubmed PY - 2020/1/17/medline PY - 2018/11/15/entrez KW - Combined spinal–epidural analgesia KW - Complications KW - Electroacupuncture KW - Labor analgesia KW - Patient-controlled epidural analgesia KW - VAS SP - 123 EP - 128 JF - Archives of gynecology and obstetrics JO - Arch Gynecol Obstet VL - 299 IS - 1 N2 - PURPOSE: To compare the pain scores and rates of complications in the labor analgesia process between the two groups. METHODS: There were 127 participants being recruited in this research, and randomly divided into 2 groups according to the anesthetic technique: CSEA with PCEA with EA group (group 1), CSEA with PCEA group (group 2). Group 1 was first operated CSEA and PCEA, then EA at Hegu (LI4), Neiguan (PC6), Zusanli (ST36) and Sanyinjiao (SP6) by HANS-200A device for 25 min. Group 2 was only treated by CSEA and PCEA. The main outcome was the VAS for labor pain. Meanwhile the complications, use of oxytocin, durations of three stages, delivery mode, cord blood pH and neonatus Apgar score in this study were considered as secondary outcomes. RESULTS: After labor analgesia, the VAS scores of group 1 at the five point-in-times were all lower than that of group 2. The rates of fever and urinary retention of group 1 were lower compared with group 2. Group 1 had less usage of oxytocin and shorter durations of cervical dilation from 3 to 10 cm and third stage than group 2. CONCLUSIONS: EA can help to reduce labor pain in CSEA with PCEA labor analgesia process, and may be able to reduce the complications. SN - 1432-0711 UR - https://www.unboundmedicine.com/medline/citation/30426192/Effects_of_electroacupuncture_on_reducing_labor_pain_and_complications_in_the_labor_analgesia_process_of_combined_spinal_epidural_analgesia_with_patient_controlled_epidural_analgesia_ DB - PRIME DP - Unbound Medicine ER -