A Randomized Clinical Trial of the Efficacy of KID21 Point (Youmen) Acupressure on Nausea and Vomiting of Pregnancy

Rad, Mojgan Naeimi; Lamyian, Minoor; Heshmat, Reza; Jaafarabadi, Mohammad Asghari; Yazdani, Shahla

doi:10.5812/ircmj.2153

Cited by 23 publications

(41 citation statements)

References 12 publications

(14 reference statements)

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“…In the context of non-pharmacological therapy use, studies on acupressure as a strategy to reduce discomforts of pregnancy have been developed essentially for nausea and vomiting (7)(8) . However, there is evidence that acupressure can be performed on individuals affected by more than one clinical symptom (5) .…”

Section: Introductionmentioning

confidence: 99%

Uso da acupressão para minimizar desconfortos na gestação

Silva

Brito

Carvalho

et al. 2016

Rev. Gaúcha Enferm.

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RESUMO Objetivo Descrever respostas emitidas por gestantes, quanto à melhora dos desconfortos gravídicos após aplicação da técnica da acupressão. Método Estudo qualitativo e descritivo desenvolvido com 15 gestantes entre novembro de 2013 e fevereiro de 2014 em uma Unidade Básica de Saúde de Natal-RN, Brasil. A coleta de dados ocorreu por meio de entrevista não estruturada, e os depoimentos, depois de transcritos e tratados de acordo com a proposta operativa de Minayo, foram lidos criteriosamente, comparados entre si e organizados em dois grupos. Resultados As categorias suscitadas foram: Repercussões positivas da acupressão e Recomendações do uso da acupressão. Segundo as gestantes, os desconfortos da gravidez como câimbras, cansaço nos membros inferiores, lombalgia e cefaleia diminuíram com o uso da acupressão. Conclusões Baseado nos resultados obtidos, a acupressão deve ser introduzida pela(o) enfermeira(o) em consultas pré-natais como recurso terapêutico em prol da obtenção do bem-estar da gestante.

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Section: Introductionmentioning

confidence: 99%

Uso da acupressão para minimizar desconfortos na gestação

Silva

Brito

Carvalho

et al. 2016

Rev. Gaúcha Enferm.

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“…A research conducted in 2012 confirmed the positive impact of applying pressure on this point in reducing pregnancy nausea and vomiting. (37) …”

Section: Discussionmentioning

confidence: 99%

Investigating the impact of acupressure on pregnancy nausea and vomiting (A systematic review)

Dehghanmehr¹,

Rahdar²,

Karimirad³

et al. 2017

Int. J. Adv. Res. Biol. Sci.

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Introduction: Nausea is the mental sensation implying the body's need for vomiting; vomiting, in turn, can be defined as the withdrawal of the content of the upper gastrointestinal tract as a result of contractions of the digestive tract and the walls of the chest and abdomen.Nausea and vomiting can be caused by intra-and extra-peritoneal disorders, medications, endocrine disrupters, metabolic and toxins. One of the causes of nausea and vomiting is pregnancy. During 4 to 7 weeks after LMP (Last menstrual period), nausea and vomiting are seen in 80% of pregnant women; these disorders are, generally, resolved at 20 weeks of pregnancy. Result: Gastrointestinal disorders are the most common complications during pregnancy; about 20% of pregnant women are looking for medical services due to the severity of such complications, the most common of which are nausea and vomiting. This disorder is experienced by more than 85% of pregnant women, but its severity varies from person to person. The cause of nausea and vomiting during pregnancy remains somewhat unknown, but there is a broad consensus that the main cause might be multifactorial, include hormone agents (human gonadotropin hormone, estrogen, progesterone, adrenal and pituitary hormones),gastrointestinal movements, increased saliva, Increased sensitivity to odors, low blood sugar, vitamin B6 deficiency and psychosocial factors. Conclusion: Based on the results of various studies, P6, KID21, and K-K9 points are shown to have positive impact in the reduction of nausea and vomiting in pregnancy and in other diseases. Given the high prevalence of nausea and vomiting in pregnant women and possible complications for the mother, the embryo and even the newborns with mothers suffering from nausea and vomiting of pregnancy on one hand and the ease of application and the availability of interventional acupressure for nurses and caregivers on the other hand, it is highly recommended to prepare required training programs in order to instruct acupressure to pregnant women.

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“…13,41,57,60,[62][63][64]66,67,69,70,76,[80][81][82][83][85][86][87][88][89]91,93,94,[98][99][100][101][102][103][104][106][107][108]110,[112][113][114][115] Methods employed included random number tables, computer-generated sequence generation 61,63,64,[81][82][83]88,93,94,98,99,106,108,…”

Section: Random Sequence Generationmentioning

confidence: 99%

“…57,60,61,63,64,66,67,73,76,78,[80][81][82][83][84][85]88,89,93,98,99,102,103,[105][106][107][108]112,118 Thirty studies did not provide sufficient information to allow a judgement of low or high risk and were therefore classed as unclear. 13,[41][42][43]58,59,62,65,[68][69][70][71]74,75,77,79,90,91,[94][95][96][97]100,…”

Section: Allocation Concealmentmentioning

confidence: 99%

“…Sixteen studies were judged to have high risk of bias in this respect, for example due to clear differences in either the appearance, dosage rates or mode of delivery between intervention and placebo comparator, or as a result of evidence that the research staff involved were aware of allocation status. 13,58,66,68,75,77,78,80,[87][88][89]91,92,96,101,115 In some instances, however, despite lack of blinding, the nature of the intervention meant that this was not relevant; for example, in McParlin and colleagues 88 where blinding of participants and staff was not possible as the packages of care delivered to the intervention and control groups varied in content. However, it is important to highlight that although it might not have been possible to blind patients or clinicians, outcome assessors and analysts handling the resultant data may nevertheless have been blinded.…”

Section: Allocation Concealmentmentioning

confidence: 99%

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Treatments for hyperemesis gravidarum and nausea and vomiting in pregnancy: a systematic review and economic assessment

O’Donnell

McParlin

Robson

et al. 2016

Health Technol Assess

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BackgroundNausea and vomiting in pregnancy (NVP) affects up to 85% of all women during pregnancy, but for the majority self-management suffices. For the remainder, symptoms are more severe and the most severe form of NVP – hyperemesis gravidarum (HG) – affects 0.3–1.0% of pregnant women. There is no widely accepted point at which NVP becomes HG.ObjectivesThis study aimed to determine the relative clinical effectiveness and cost-effectiveness of treatments for NVP and HG.Data sourcesMEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, PsycINFO, Commonwealth Agricultural Bureaux (CAB) Abstracts, Latin American and Caribbean Health Sciences Literature, Allied and Complementary Medicine Database, British Nursing Index, Science Citation Index, Social Sciences Citation Index, Scopus, Conference Proceedings Index, NHS Economic Evaluation Database, Health Economic Evaluations Database, China National Knowledge Infrastructure, Cochrane Database of Systematic Reviews and Database of Abstracts of Reviews of Effects were searched from inception to September 2014. References from studies and literature reviews identified were also examined.Obstetric Medicinewas hand-searched, as were websites of relevant organisations. Costs came from NHS sources.Review methodsA systematic review of randomised and non-randomised controlled trials (RCTs) for effectiveness, and population-based case series for adverse events and fetal outcomes. Treatments: vitamins B6 and B12, ginger, acupressure/acupuncture, hypnotherapy, antiemetics, dopamine antagonists, 5-hydroxytryptamine receptor antagonists, intravenous (i.v.) fluids, corticosteroids, enteral and parenteral feeding or other novel treatment. Two reviewers extracted data and quality assessed studies. Results were narratively synthesised; planned meta-analysis was not possible due to heterogeneity and incomplete reporting. A simple economic evaluation considered the implied values of treatments.ResultsSeventy-three studies (75 reports) met the inclusion criteria. For RCTs, 33 and 11 studies had a low and high risk of bias respectively. For the remainder (n = 20) it was unclear. The non-randomised studies (n = 9) were low quality. There were 33 separate comparators. The most common were acupressure versus placebo (n = 12); steroid versus usual treatment (n = 7); ginger versus placebo (n = 6); ginger versus vitamin B6 (n = 6); and vitamin B6 versus placebo (n = 4). There was evidence that ginger, antihistamines, metoclopramide (mild disease) and vitamin B6 (mild to severe disease) are better than placebo. Diclectin®[Duchesnay Inc.; doxylamine succinate (10 mg) plus pyridoxine hydrochloride (10 mg) slow release tablet] is more effective than placebo and ondansetron is more effective at reducing nausea than pyridoxine plus doxylamine. Diclectin before symptoms of NVP begin for women at high risk of severe NVP recurrence reduces risk of moderate/severe NVP compared with taking Diclectin once symptoms begin. Promethazine is as, and ondansetron is more, effective than metoclopramide for severe NVP/HG. I.v. fluids help correct dehydration and improve symptoms. Dextrose saline may be more effective at reducing nausea than normal saline. Transdermal clonidine patches may be effective for severe HG. Enteral feeding is effective but extreme method treatment for very severe symptoms. Day case management for moderate/severe symptoms is feasible, acceptable and as effective as inpatient care. For all other interventions and comparisons, evidence is unclear. The economic analysis was limited by lack of effectiveness data, but comparison of costs between treatments highlights the implications of different choices.LimitationsThe main limitations were the quantity and quality of the data available.ConclusionThere was evidence of some improvement in symptoms for some treatments, but these data may not be transferable across disease severities. Methodologically sound and larger trials of the main therapies considered within the UK NHS are needed.Study registrationThis study is registered as PROSPERO CRD42013006642.FundingThe National Institute for Health Research Health Technology Assessment programme.

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A Randomized Clinical Trial of the Efficacy of KID21 Point (Youmen) Acupressure on Nausea and Vomiting of Pregnancy

Cited by 23 publications

References 12 publications

Uso da acupressão para minimizar desconfortos na gestação

Uso da acupressão para minimizar desconfortos na gestação

Investigating the impact of acupressure on pregnancy nausea and vomiting (A systematic review)

Treatments for hyperemesis gravidarum and nausea and vomiting in pregnancy: a systematic review and economic assessment

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