Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2015 Aug 19;8(3):236-44.
doi: 10.5539/gjhs.v8n3p236.

Comparison of the Effects of Maternal Supportive Care and Acupressure (at BL32 Acupoint) on Labor Length and Infant's Apgar Score

Affiliations
Randomized Controlled Trial

Comparison of the Effects of Maternal Supportive Care and Acupressure (at BL32 Acupoint) on Labor Length and Infant's Apgar Score

Marzieh Akbarzadeh et al. Glob J Health Sci. .

Abstract

Background & objectives: Prolonged labor leads to increase of cesarean deliveries, reduction of fetal heart rate, and maternal as well as infantile complications. Therefore, many women tend to use pharmacological or non-pharmacological methods for reduction of labor length. The present study aimed to compare the effects of maternal supportive care and acupressure (at BL32 acupoint) on labor length and infant's Apgar score.

Methods: In this clinical trial, 150 women with low-risk pregnancy were randomly divided into supportive care, acupressure, and control groups each containing 50 subjects. The data were collected using a questionnaire including demographic and pregnancy characteristics. Then, the data were analyzed using Chi-square test and one-way ANOVA.

Results: The mean length of the first and second stages of labor was respectively 157.0±29.5 and 58.9±5.8 minutes in the supportive care group, 161.7±37.3 and 56.1±31.4 minutes in the acupressure group, ad 281.0±9.8 and 128.4±44.9 minutes in the control group. The difference between the length of labor stages was significant in the three study groups (P<0.001). Moreover, the frequency of Apgar score>8 in the first and 5th minutes was higher in the supportive care and acupressure groups compared to the control group, and the difference was statistically significant (P<0.001).

Conclusion: Continuous support and acupressure could reduce the length of labor stages and increase the infants' Apgar scores. Therefore, these methods, as effective non-pharmacological strategies, can be introduced to the medical staff to improve the delivery outcomes.

PubMed Disclaimer

Conflict of interest statement

Financial Support

The study was financially supported by the Research Center for Traditional Medicine and History of Medicine and the Research Vice-chancellor of Shiraz University of Medical Sciences, Shiraz, Iran.

Iranian Registry of Clinical Trial Code

IRCT2014021211706N6.

Competing Interests of Statement

The authors declare that they have no known competing interests.

Figures

Figure 1
Figure 1
Location of the BL 32 point; Reference: http://acupunctureschoolonline.com/bl-31%E2%80%93bl-34-eight-liao-baliao-acupuncture-points.html

References

    1. Andrews C. M, Chrzanowski M. Maternal position, labor, and comfort. Appl Nurs Res. 1990;3(1):7–13. http://dx.doi.org/10.1016/S0897-1897(05)80148-X . - PubMed
    1. Beal M. W. Acupuncture and related treatment modalities. Part II: Applications to antepartal and intrapartal care. J Nurse Midwifery. 1992;37(4):260–8. http://dx.doi.org/10.1016/0091-2182(92)90130-U . - PubMed
    1. Ben Regaya L, Fatnassi R, Khlifi A, Fekih M, Kebaili S, Soltan K, et al. [Role of deambulation during labour: A prospective randomized study] J Gynecol Obstet Biol Reprod (Paris) 2010;39(8):656–62. http://dx.doi.org/10.1016/j.jgyn.2010.06.007 . - PubMed
    1. Bruggemann O. M, Parpinelli M. A, Osis M. J, Cecatti J. G, Neto A. S. Support to woman by a companion of her choice during childbirth: a randomized controlled trial. Reprod Health. 2007;4(5):5. http://dx.doi.org/10.1186/1742-4755-4-5 . - PMC - PubMed
    1. Campell D. A, Lake M. F, Falk M. A Randomized Control Trial of Continuous Support in Labour by a Lay Doula. J obstet Gynecol Neonatal Nursing. 2006;35(4):456–46. http://dx.doi.org/10.1111/j.1552-6909.2006.00067.x . - PubMed

Publication types