Effects of electroacupuncture on reducing labor pain and complications in the labor analgesia process of combined spinal–epidural analgesia with patient-controlled epidural analgesia
To compare the pain scores and rates of complications in the labor analgesia process between the two groups.
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.
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.
EA can help to reduce labor pain in CSEA with PCEA labor analgesia process, and may be able to reduce the complications.
KeywordsElectroacupuncture Labor analgesia Complications VAS Combined spinal–epidural analgesia Patient-controlled epidural analgesia
We are grateful to the Department of Obstetrics and Gynecology of the Third Affiliated Hospital of Sun Yat-Sen University for its support and help.
JX: data collection and management, manuscript writing and editing. WY: project development. LW: project development. MH: data collection and management. HZ: data collection and management.
Funding was provided by Guangdong Science and Technology Department (Grant no. 2016A020226051).
Compliance with ethical standards
Conflict of interest statement
We declare that we have no conflict of interest with other people or organizations that can inappropriately influence our work; there is no professional or other personal interest of any nature or kind in any product, service or company that could be construed as influencing the position presented in. We have full control of all primary data and we agree to allow the journal to review our data if requested.
- 9.Smith CA, Collins CT, Crowther CA, Levett KM (2011) Acupuncture or acupressure for pain management in labour. Cochrane Libr 6(7):1447–1447Google Scholar
- 26.Zhu J, Wang M, Zhang L (2003) Effects on uterine contraction of puncturing hegu and sanyinjiao with electric needles in the rats in pregnancy at late stage. J Beijing Univ Tradit Chin Med 26(2):73–75Google Scholar