Does Acupuncture Have a Place as an Adjunct Treatment During Pregnancy? A Review of Randomized Controlled Trials and Systematic Reviews
ABSTRACT Complementary medicine has become popular throughout many Western countries and is widely used by women across all stages of their life cycle. Acupuncture is used by women during their pregnancy, and research suggests that acupuncture may be used as an adjunct to their existing conventional care. The aim of this paper was to summarize the evidence examining the effectiveness of acupuncture during pregnancy and birthing, and to discuss its role as an adjunct treatment.
We conducted a systematic literature search using several electronic databases. We included all placebo-controlled randomized trials of parallel design, and systematic reviews that evaluated the role of acupuncture during pregnancy and birthing. A critical appraisal of clinical trials and systematic reviews was undertaken.
The summarized findings indicated a small but growing body of acupuncture research, with some evidence suggesting a benefit from acupuncture to treat nausea in pregnancy. Findings from the review also highlighted promising evidence for the effectiveness of acupuncture to manage back and pelvic pain, acupuncture-type interventions to induce change in breech presentation, and pain relief in labor. The methodological quality of recent trials has improved, and the quality of systematic reviews was high.
Interest is growing in the use of acupuncture to treat some complaints during pregnancy and childbirth, and evidence is beginning to consolidate that acupuncture may assist with the management of some complaints during pregnancy. However, definitive conclusions about its effectiveness cannot be reached and further research is justified.
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- "One healthcare area which has attracted attention and debate among practitioners and policymakers in many countries has been the use of CAM during pregnancy (Nordeng & Havnen 2004, Refuerzo et al. 2005, Warriner 2007, Adams & Tovey 2008, Holst et al. 2008, Skouteris et al. 2008, Adams et al. 2009, Low Dog 2009). Although recent discussion has identified the need to develop an integrated approach to maternity care (Dooley 2006) and the efficacy of some CAM use in pregnancy is gradually emerging (Fugh-Berman & Kronenberg 2003, Huntley et al. 2004, Anderson & Johnson 2005, Smith & Cochrane 2009), there is a lack of understanding of attitudes and practice behaviours of mainstream maternity care professionals towards complementary and alternative treatments. "
ABSTRACT: This paper presents an integrative literature review examining the attitudes and referral practices of midwives and other maternity care professionals with regard to complementary and alternative treatment and its use by pregnant women. Use of complementary and alternative medicine during pregnancy is a crucial healthcare issue. Recent discussion has identified the need to develop an integrated approach to maternity care. However, there is a lack of understanding of attitudes and behaviours of maternity care professionals towards these treatments. A database search was conducted in MEDLINE, CINAHL, Health Source, AMED and Maternity and Infant Care for the period 1999-2009. An integrative review method was employed. Studies were selected if they reported results from primary data collection on professional practice/referral or knowledge/attitude towards complementary and alternative medicine by obstetricians, midwives and allied maternity care providers. A total of 21 papers covering 19 studies were identified. Findings from these studies were extracted, grouped and examined according to three key themes: 'prevalence of practice, recommendation and referral', 'attitudes and views' and 'professionalism and professional identity'. There is a need for greater respect and cooperation between conventional and alternative practitioners as well as communication between all maternity care practitioners and their patients about the use of complementary and alternative medicine. There is a need for in-depth studies on the social dimension of practice as well as the inter- and intra-professional dynamics that shape providers' decision to use or refer to complementary and alternative medicine in maternity care.Journal of Advanced Nursing 03/2011; 67(3):472-83. DOI:10.1111/j.1365-2648.2010.05510.x · 1.69 Impact Factor
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- "Although the evidence base for acupuncture in relation to reproductive health complaints is limited, there is larger research base in relation to pregnancy and delivery. In a recent review we reported that evidence was beginning to consolidate for the use of acupuncture to assist with the management of some complaints during pregnancy and birthing (Smith and Cochrane, 2009). Our review included 16 studies, eight randomised controlled trials (RCTs) and eight systematic reviews. "
ABSTRACT: Women specific health complaints are common, and women are higher users of complementary therapies and medicines. Acupuncture is one modality used by women. The aim of this paper was to summarise the evidence from scientific trials and systematic reviews assessing the effectiveness of acupuncture to treat the most common women specific reproductive health complaints. We conducted a search of the major databases PubMed, CINAHL, and the Cochrane Library from their inception to Sept 2009, to obtain English language texts of randomised controlled trials (RCTs) and systematic reviews. The following English Australian search terms were used: acupuncture and period pain or dysmenorrhea, or premenstrual syndrome, or poly cystic ovarian syndrome/PCOS, or menstrual headache, or irregular periods/menstruation, or amenorrhea, or heavy menses/periods, or menorrhagia, or menopause, and randomised controlled trial and systematic review. Both authors extracted data and reviewed each trial and systematic review for methodological quality. Five systematic reviews were included, and six RCTs. The symptoms of the menopause and dysmenorrhea have been subject to greater clinical evaluation through RCTs, and the evidence summarised in systematic reviews, than any other reproductive health complaint. The evidence for acupuncture to treat dysmenorrhea and menopause remains unclear, due to small study populations and the presence of methodological bias. Acupuncture to treat PMS, PCOS and other menstrual related symptoms is under-studied, and the evidence for acupuncture to treat these conditions is frequently based on single studies. Further research is needed.Autonomic neuroscience: basic & clinical 10/2010; 157(1-2):52-6. DOI:10.1016/j.autneu.2010.03.013 · 1.37 Impact Factor
Conference Paper: A general technique for implementation of efficient priority queues[Show abstract] [Hide abstract]
ABSTRACT: This paper presents a very general technique for the implementation of mergeable priority queues. The amortized running time is O(log n) for DELETEMIN and DELETE, and Θ(1) for all other standard operations. In particular, the operation DECREASEKEY runs in amortized constant time. The worst-case running time is O(log n) or better for all operations. Several examples of mergeable priority queues are given. The examples include priority queues that are particular well suited for external storage. The space requirement is only two pointers and one information field per item. The technique is also used to implement mergeable, double-ended priority queues. For these queues, the worst-case time bound for insertion is Θ(1), which improves the best previously known bound. For the other operations, the time bounds are the same as the best previously known bounds, worst-case as well as amortizedTheory of Computing and Systems, 1995. Proceedings., Third Israel Symposium on the; 02/1995