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Use of Acupuncture and Sterile Water Injection for Labor Pain: A Survey in Sweden
University of Skövde, School of Life Sciences.
University of Skövde, School of Life Sciences.
2006 (English)In: Birth, ISSN 0730-7659, E-ISSN 1523-536X, Vol. 33, no 4, 289-296 p.Article in journal (Refereed) Published
Abstract [en]

Acupuncture and sterile water injections are nonpharmacological pain relief methods used for labor pain in Swedish delivery wards. Their use has changed over time, the reasons for which are unclear, and acupuncture is currently in more common use than sterile water injections. The aim of this study was to elucidate the clinical use of acupuncture and sterile water injections as pain relief and relaxation during childbirth in Sweden. Methods: Twelve hundred questionnaires were sent out to all delivery wards in Sweden. Nine hundred sixty midwives fulfilled the inclusion criteria, and the response rate was 565 (59%). Results: Acupuncture was used for both pain relief and relaxation, whereas sterile water injections were used almost exclusively for pain relief. The midwives' own choice of pain relief during childbirth for a possible future delivery was similar to their choice of method in clinical practice. Conclusions: Our study shows that acupuncture was used for both pain relief and relaxation, whereas sterile water injections were used almost exclusively for pain relief. The results also indicate a weakness in midwives' awareness and use of scientific knowledge and general recommendations about these methods

Place, publisher, year, edition, pages
Wiley-Blackwell, 2006. Vol. 33, no 4, 289-296 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:his:diva-1940DOI: 10.1111/j.1523-536X.2006.00121.xISI: 000242110600005PubMedID: 17150067Scopus ID: 2-s2.0-33751219890OAI: oai:DiVA.org:his-1940DiVA: diva2:32216
Available from: 2008-04-09 Created: 2008-04-09 Last updated: 2013-01-28
In thesis
1. Sterile water injections and acupuncture as treatment for labour pain
Open this publication in new window or tab >>Sterile water injections and acupuncture as treatment for labour pain
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Most women experience pain during labour. Complementary pain relief methods such as sterile water injections and acupuncture are two alternatives for the child birthing women. The lack of knowledge about the use of these methods in clinical practice creates the need to develop and evaluate them.

Aims and methods: To elucidate whether the new subcutaneous method of administering sterile water, as well as the previously described intracutaneous injection method, were effective for the relief of labour pain. Ninety-nine women in labour were randomized to either intracutaneous- , subcutaneous injections of sterile water or to placebo (Paper I). To investigate if there was any difference in perceived pain between the intracutaneous and subcutaneous techniques during injection of sterile water. One hundred female volunteers were given injections with both techniques in a cross-over trial (Paper II). To elucidate the clinical use of acupuncture and sterile water injections as pain relief and relaxation during childbirth in Swedish delivery wards. Five hundred and sixty-five midwives answered a questionnaire about their use of these methods (Paper III). To elucidate if there were any differences between acupuncture and sterile water injections in terms of pain relief and relaxation during labour. One hundred and twenty-eight pregnant women in childbirth were randomized to either sterile water injections or acupuncture (Paper IV).

Results: Paper I: VAS pain scores were significantly lower in both treatment groups 10 minutes (p=0.001) and 45 minutes (p=0.005) after treatment, compared with the placebo group. Paper II: subcutaneous injections were still perceived as less painful than intracutaneous injections after trial, day and injection location were taken into consideration (p<0.001). Paper III: the midwives’ estimated frequency of administration of acupuncture was much higher than that of sterile water injections, 25 % versus 2 %. The intracutaneous injection technique was more common in clinical practice than the subcutaneous technique. Sterile water injections were used exclusively for pain relief during labour while acupuncture was used for both pain relief and relaxation during labour. Paper IV: women given sterile water injections experience significantly less labour pain and a higher degree of relaxation in labour, compared to women given acupuncture (p<0.001).

Conclusions: The results indicate that the subcutaneous injection technique is preferable when using sterile water injections for low back pain during labour. Sterile water injections seem to provide more pain relief and a higher degree of relaxation, compared to acupuncture. However, acupuncture is a more common pain relief method in clinical practice.

Place, publisher, year, edition, pages
Göteborgs universitet, 2006. 66 p.
Keyword
Labour pain, pain relief, sterile water injections, acupuncture, survey
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Medical sciences
Identifiers
urn:nbn:se:his:diva-1881 (URN)91-628-6904-3 (ISBN)
Public defence
(English)
Available from: 2008-01-08 Created: 2008-01-08 Last updated: 2013-11-20Bibliographically approved

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